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NPI Code Detail

MEDICARE: ERIN M GREENYA

MEDICARE:   ERIN M GREENYA
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
1183500000XPharmacist18457-40WI

General Provider Information

NPI Number : 1649895897
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN M GREENYA
Provider Business Mailing Address
First Line : 101 S MARQUETTE RD
Second Line :
City : PRAIRIE DU CHIEN
State : WI
Zip : 53821-1639
Country : US
Telephone Number : 608-326-2581
Fax Number : 608-326-1835
Provider Business Practice Location Address
First Line : 101 S MARQUETTE RD
Second Line :
City : PRAIRIE DU CHIEN
State : WI
Zip : 53821-1639
Country : US
Telephone Number : 608-326-2581
Fax Number : 608-326-1835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2020
Last Update Date : 06/13/2020

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Directions to “ ERIN M GREENYA ” Practice Location

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