MEDICARE: DR. DEBORAH LEE GREINER PHARMD

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
1	183500000X	Pharmacist	PH2862	DC

General Provider Information

NPI Number	:	1477759850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH LEE GREINER PHARMD

Provider Business Mailing Address
First Line	:	4612 SUNSET DR
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32404-7343
Country	:	US
Telephone Number	:	850-215-7358
Fax Number	:	850-215-7359

Provider Business Practice Location Address
First Line	:	4612 SUNSET DR
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32404-7343
Country	:	US
Telephone Number	:	850-215-7358
Fax Number	:	850-215-7359

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	07/08/2007

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