Individual
MARGARET ANNE GREENDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1775 THOMPSON ROAD, COOS BAY, OR 97420
(541) 269-8160
(541) 269-2383
Mailing address
1035 VINE AVE., COOS BAY, OR 97420
(541) 269-1450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8169
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8169
PHARMACY LICENSE
OR
Enumeration date
10/05/2006
Last updated
07/08/2007
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