National Provider Identifier
Larry W Green, PHARMACIST
Larry W Green, PHARMACIST is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 368-3928.
Profile Overview
- NPI
- 1710201405
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- March 24, 2010
- Last Updated
- March 24, 2010
Practice Location
- 89 Genesee St
- Rochester, NY 14611-3201
Phone: (585) 368-3928
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1710201405
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Larry
- Middle Name
- W
- Name Prefix
- Mr.
- Credential
- PHARMACIST
- Mailing Street Address
- 89 Genesee St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-3201
- Mailing Country
- US
- Mailing Phone
- (585) 368-3928
- Mailing Fax
- (585) 368-3929
- Practice Street Address
- 89 Genesee St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-3201
- Practice Country
- US
- Practice Phone
- (585) 368-3928
- Practice Fax
- (585) 368-3929
- Enumeration Date
- March 24, 2010
- Last Updated
- March 24, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 02569822 (NY)