Most Relevant Information
Provider Data
| NPI Number: | 1003410580 |
| Provider Name: | WENDY GREEN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RP443496 |
Most Important Dates
| Enumeration Date: | 11/25/2020 |
| Last Updated: | 11/25/2020 |
Provider Practice Location
4035 N GEORGE STREET EXT
MANCHESTER
PA
173459203
Practice Location Phone/Fax
| Phone: | 7172662212 |
| Fax: |
Provider Mailing Location
4035 N GEORGE STREET EXT
MANCHESTER
PA
173459203
Provider Mailing Phone/Fax
| Phone: | 7172662212 |
| Fax: |