NPI 1437761715

Green Leaf Growers

Organisation Medical Foods Supplier Springfield, MA

Practice location

Address: 235 Chestnut St Fl 1, Springfield, MA 01103-1103
Phone: (978) 726-3319
Mailing address: 235 Chestnut St Lowr Level, Springfield, MA 01103-1100

Authorised official

Name: Spurgeon Wamala
Title: Officer
Phone: (978) 726-3319

Registered specialties

Medical Foods Supplier Primary

Suppliers Taxonomy 335G00000X

Other Medical Foods Supplier providers in Massachusetts →

Registry record

NPI: 1437761715
Entity type: Organization
NPI issued: 19 Aug 2020
Record last updated: 19 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.