Green, Glenn J

Green, Glenn J is an individual health care provider with primary practice located at 12A Westbank Expy Ste 101 , Gretna LA 70053-3659. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Green, Glenn J can be contacted via phone (504) 509-5442.

Contact Information

Primary practice address
12A Westbank Expy Ste 101 Gretna LA 70053-3659
Phone: (504) 509-5442
Fax: (504) 509-5421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 45045 Texas
Pharmacy Service Providers / Pharmacist 183500000X 17753 Louisiana

Profile Details

NPI number 1497078042
LBN Legal business name Green, Glenn J
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2010
Last updated Dec 29th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497078042 NPPES
Louisiana MEDICAID 1896870
Louisiana Other MA.000101

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