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MR. LARRY WAYNE GREEN RPH CDE NPI 1770558371


NPI Information

NPI: 1770558371
Provider Name: MR. LARRY WAYNE GREEN, RPH, CDE
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA
ZIP 98431
Phone: (253) 968-2607
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MR. Larry Wayne Green, RPH, CDE is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Tacoma, WA. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. MR. Larry Wayne Green, RPH, CDE NPI is 1770558371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA
ZIP 98431-001
Phone: (253) 968-2607
Fax: (253) 968-3349

The enumeration date for this NPI number is 2/17/2006 and was last updated on 8/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist013254LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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