NPI 1083217905

Jenna Leigh Green, PHARMD

Practitioner Pharmacist Largo, FL

Practice location

Address: 51 Missouri Ave N, Largo, FL 33770-3761
Phone: (727) 518-2951
Mailing address: 8717 Palisades Dr, Tampa, FL 33615-4924

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PS61634 (FL)

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Registry record

NPI: 1083217905
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2020
Record last updated: 21 Nov 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.