National Provider Identifier Database

GREENS PHARMACY INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

GREENS PHARMACY INC
200 MADISON ST
PORT CLINTON, OH43452-1947
Phone: 419-732-3151
Fax: 419-734-6338
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for GREENS PHARMACY INC

NPI Number 1518958347
Legal business name
LBN
GREENS PHARMACY INC
Authorized official ROBERT DODGE - (PRESIDENT/PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 11/01/2005
Last updated 12/07/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: RTP.021068650-03
  • OH Medicaid: 2059463
  • Other: 2072871 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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