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Contact Information

GREENS PHARMACY INC
200 MADISON ST
PORT CLINTON, OH43452-1947
 Phone: 419-732-3151
 Fax: 419-734-6338
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GREENS PHARMACY INC

NPI # 1518958347
LBN Legal business name GREENS PHARMACY INC
Authorized official ROBERT DODGE - (PRESIDENT/PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2005
Last updated 12/07/2018 - About 8 years ago
Identifiers
OH License # RTP.021068650-03
OH Medicaid 2059463
Other 2072871 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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