Active NPIIndividual provider

Dr. Charlie J Green, PHARM D

Pharmacist in Bridgton, Maine

NPI Number1710310529
Practice location
19 Portland RD, Bridgton, ME 04009-1229
Fax
207-647-2086
Last updated
August 15, 2013

Charlie James Green is a Pharmacist based in Bridgton, ME. Charlie James Green practices in Bridgton, ME and has the professional credentials of PHARM D. The NPI Number for Charlie James Green is 1710310529 and holds a License No. PR12947 (ME). The current practice location address for Charlie James Green is 19 Portland RD, Bridgton, ME 04009-1229 and can be reached out via phone at 207-647-3445 and via fax at 207-647-2086.

Provider Profile Details

NPI Number
1710310529
Provider Name
Charlie James Green
Credential
PHARM D
Provider Entity Type
Individual
Gender
Male
Address
19 Portland RD, Bridgton, ME 04009-1229
Phone Number
207-647-3445
Fax Number
207-647-2086
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
August 15, 2013
Last Update Date
August 15, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Portland RD
Bridgton, ME 04009-1229
State
Maine
Zip
04009-1229
Phone Number
207-647-3445
Fax Number
207-647-2086
Bridgton, ME 04009Get directions →

Provider Business Mailing Address Details

Address
39 Spruce St
Sanford, ME 04073-2970
City
Sanford
State
ME
Zip
04073-2970
Phone Number
207-432-2857

License Information

License Number
PR12947
License State
ME
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Charlie J Green, PHARM D?

The NPI number of Dr. Charlie J Green, PHARM D is 1710310529. It was assigned on August 15, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Charlie J Green, PHARM D?

Dr. Charlie J Green, PHARM D is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in ME under license number PR12947.

Where does Dr. Charlie J Green, PHARM D practice?

The practice location is 19 Portland RD, Bridgton, ME 04009-1229. The office can be reached at 207-647-3445 (phone) or 207-647-2086 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710310529 directly on the NPPES registry website.

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