NPI 1003096694

Derek R. Green, PHARMD

Practitioner Pharmacist Evansville, IN

Practice location

Address: 1401 Professional Blvd Suite 101, Evansville, IN 47714-8011
Phone: (812) 962-3500
Fax: (812) 962-3599

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26020548A (IN)

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Registry record

NPI: 1003096694
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Nov 2007
Record last updated: 12 Nov 2007

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.