Provider Demographics
NPI:1386925717
Name:GREER, BOBBI SUE (PHARMD)
Entity type:Individual
Prefix:
First Name:BOBBI
Middle Name:SUE
Last Name:GREER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13879 ROCKET BOYS DRIVE
Mailing Address - Street 2:PO BOX 697
Mailing Address - City:WAR
Mailing Address - State:WV
Mailing Address - Zip Code:24892
Mailing Address - Country:US
Mailing Address - Phone:304-875-2330
Mailing Address - Fax:304-875-2332
Practice Address - Street 1:14025 ROCKET BOYS DRIVE
Practice Address - Street 2:
Practice Address - City:WAR
Practice Address - State:WV
Practice Address - Zip Code:24892
Practice Address - Country:US
Practice Address - Phone:304-875-2330
Practice Address - Fax:304-875-2332
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007723183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist