Individual
TAYLOR GREENE PENNISI
Active
Individual
TAYLOR GREENE PENNISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
37166
SC
1835P2201X
Ambulatory Care Pharmacist
Primary
37166
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37166
PHARMACIST LICENSE
SC
Enumeration date
07/15/2017
Last updated
02/26/2025
Update your record
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