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NPI Code Detail

MEDICARE: TERESA M GREENLICK RPH

MEDICARE: TERESA M GREENLICK RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5302410876MI

General Provider Information

NPI Number : 1023283603
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA M GREENLICK RPH
Provider Business Mailing Address
First Line : PO BOX 3165
Second Line :
City : HARRISBURG
State : PA
Zip : 17105-3165
Country : US
Telephone Number : 180-074-8324
Fax Number :
Provider Business Practice Location Address
First Line : 30 HUNTER LN
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-2400
Country : US
Telephone Number : 717-761-2630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2008
Last Update Date : 04/24/2008

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Directions to “ TERESA M GREENLICK RPH” Practice Location

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