Individual
MRS. DEBRA K GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
938 2ND AVE W, DICKINSON, ND 58601-3916
(701) 483-4401
(701) 456-6101
Mailing address
938 2ND AVE W, DICKINSON, ND 58601-3916
(701) 483-4401
(701) 456-6101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3417
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRE521406
DRIVERS LICENSE
ND
Enumeration date
05/22/2007
Last updated
07/08/2007
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