Individual
GRETA BOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11619 ISLAND AVE, ISLAND CITY, OR 97850-8459
(541) 963-5460
Mailing address
11619 ISLAND AVENUE, ISLAND CITY, OR 97850
(541) 963-5460
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11509
OR
183500000X
Pharmacist
16769
NV
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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