Healthcare Provider Details

I. General information

NPI: 1528477510
Provider Name (Legal Business Name): GINGER RAELENE GREER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2014
Last Update Date: 08/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7535 N PALM AVE SUITE 101
FRESNO CA
93711-5504
US

IV. Provider business mailing address

3451 PINE MIST CT
ROSAMOND CA
93560-6383
US

V. Phone/Fax

Practice location:
  • Phone: 559-432-9800
  • Fax: 877-225-3676
Mailing address:
  • Phone: 661-256-0175
  • Fax: 661-256-0175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number133481
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: