Provider Demographics
NPI:1528451689
Name:GREENLEE, PAMELA J (RPH)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:J
Last Name:GREENLEE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:J
Other - Last Name:MULLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2138 S MAYO TRL
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-2296
Mailing Address - Country:US
Mailing Address - Phone:606-432-2582
Mailing Address - Fax:606-432-4587
Practice Address - Street 1:2138 S MAYO TRL
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-2296
Practice Address - Country:US
Practice Address - Phone:606-432-2582
Practice Address - Fax:606-432-4587
Is Sole Proprietor?:No
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY010449183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist