Brady Korry Green, PHARMD

Pharmacist · Riverdale, UT

Individual Active NPI

NPI number 1417243742

Practice location

1135 W Riverdale Rd
Riverdale, UT 84405-3722
Phone
(801) 392-4772

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NPI record

NPI
1417243742
Entity type
Individual (Type 1)
Enumeration date
June 24, 2011
Last updated
June 24, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 6729808-1701 UT

Mailing address

3724 S 4700 W
West Haven, UT 84401-9618

About Dr. Green

Brady Korry Green, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1135 W Riverdale Rd, Riverdale, UT 84405-3722. The NPI number 1417243742 was assigned on June 24, 2011 and the record was last updated on June 24, 2011.

Dr. Green lists a license in the registry: #6729808-1701 (UT) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brady Korry Green, PHARMD?

The NPI number is 1417243742.

What is the phone number of Dr. Green?

The phone number listed for the practice location is (801) 392-4772.

Where is Dr. Green located?

1135 W Riverdale Rd, Riverdale, UT 84405-3722.

What is the taxonomy code for Dr. Green?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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