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NPI Code Detail

MEDICARE: GRETA BOOK

MEDICARE: GRETA BOOK
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
1183500000XPharmacist11509OR
2183500000XPharmacist16769NV

General Provider Information

NPI Number : 1598164501
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETA BOOK
Provider Business Mailing Address
First Line : 11619 ISLAND AVENUE
Second Line :
City : ISLAND CITY
State : OR
Zip : 97850
Country : US
Telephone Number : 541-963-5460
Fax Number :
Provider Business Practice Location Address
First Line : 11619 ISLAND AVE
Second Line :
City : ISLAND CITY
State : OR
Zip : 97850-8459
Country : US
Telephone Number : 541-963-5460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2014
Last Update Date : 08/14/2014

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Directions to “ GRETA BOOK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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