Individual
EVERETT D GREENUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
10618 E SPRAGUE AVE, SPOKANE VALLEY, WA 99206-3634
(509) 924-5560
Mailing address
22809 E COUNTRY VISTA DR APT 323, LIBERTY LAKE, WA 99019-7573
(253) 225-7574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00056528
WA
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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