NPI 1003184771

Shelley Green

Practitioner Pharmacist Blaine, MN

Practice location

Address: 600 County Road 10 NE, Blaine, MN 55434-2329
Phone: (763) 786-9081
Fax: (763) 786-3122

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 116453 (MN)

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Registry record

NPI: 1003184771
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2011
Record last updated: 8 Dec 2011

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.