Healthcare Provider Details

I. General information

NPI: 1477461077
Provider Name (Legal Business Name): KIRA MARIE GREFSHEIM PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 WOODWINDS DR
WOODBURY MN
55125-4445
US

IV. Provider business mailing address

2208 170TH AVE NW
ANDOVER MN
55304-2012
US

V. Phone/Fax

Practice location:
  • Phone: 651-232-0100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number126586
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: