IndividualActive
Daniel Greene, PHARMD
NPI 1063163467 · Long Term Care Pharmacy · Nixa, MO
Provider details
- NPI number
- 1063163467
- Entity type
- Individual
- Primary specialty
- Long Term Care PharmacySuppliers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2010031679 (MO)
Specialties & taxonomies
Suppliers
Suppliers
Practice location
1824 N Hwy Cc
Nixa, MO 65714-8015
Phone: (417) 893-3902
Approximate (ZIP-level) locationGet directions
Mailing address
2415 E Edgewood St
Springfield, MO 65804-3905
Registry dates
- Enumerated
- 2022-01-17
- Last updated
- 2022-01-17
- Certified
- 2022-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.