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NPI Code Detail

MEDICARE: JILL H. GREENE RPH

MEDICARE: JILL H. GREENE 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
1183500000XPharmacist7530SC

General Provider Information

NPI Number : 1164770012
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL H. GREENE RPH
Provider Business Mailing Address
First Line : 1751 E MAIN ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29307-2230
Country : US
Telephone Number : 864-573-5313
Fax Number : 864-582-1532
Provider Business Practice Location Address
First Line : 1751 E MAIN ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29307-2230
Country : US
Telephone Number : 864-573-5313
Fax Number : 864-582-1532
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2012
Last Update Date : 08/27/2012

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