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NPI Code Detail

MEDICARE: MARCIA GREENFIELD

MEDICARE:   MARCIA  GREENFIELD
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
1183500000XPharmacist62323CA

General Provider Information

NPI Number : 1780246504
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA GREENFIELD
Provider Business Mailing Address
First Line : 210 GUNSTON CT
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-7680
Country : US
Telephone Number : 614-327-4238
Fax Number :
Provider Business Practice Location Address
First Line : 3500 PALMER DR
Second Line :
City : CAMERON PARK
State : CA
Zip : 95682-8202
Country : US
Telephone Number : 530-676-0171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2019
Last Update Date : 07/02/2019

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Directions to “ MARCIA GREENFIELD ” Practice Location

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