MEDICARE: JESSICA GREER 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	PS55511	FL

General Provider Information

NPI Number	:	1487200077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA GREER PHARMD

Provider Business Mailing Address
First Line	:	12145 WHISPER LAKE DR
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34211-4064
Country	:	US
Telephone Number	:	561-213-8317
Fax Number	:

Provider Business Practice Location Address
First Line	:	12145 WHISPER LAKE DR
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34211-4064
Country	:	US
Telephone Number	:	561-213-8317
Fax Number	:

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

Provider Enumeration Date	:	08/10/2019
Last Update Date	:	08/10/2019

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