GREEN TREE PHARMACY INC. NPI 1245221068

NPI Information

GREEN TREE PHARMACY, INC. is a pharmacy in Minonk, IL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GREEN TREE PHARMACY, INC. NPI is 1245221068. The provider is registered as an organization entity type.
The provider Is Doing Business As Green Tree Pharmacy.

The provider's business location address is:

1305 CAROLYN DR
MINONK, IL
ZIP 61760
Phone: (309) 432-3451
Fax: (309) 432-2575

The provider's authorized official is Craig L Ater .
The authorized official title is Exec. Vp & Cfo and has the following contact phone number (309) 828-4361.

The enumeration date for this NPI number is 11/1/2005 and was last updated on 6/23/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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