Provider Demographics
NPI:1699802322
Name:SILMAN-GREENSPAN, JUDITH (RPH)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:SILMAN-GREENSPAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:SILMAN-GREENSPAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:1710 SAUNDERS AVENUE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-2431
Mailing Address - Country:US
Mailing Address - Phone:651-690-0403
Mailing Address - Fax:309-273-3634
Practice Address - Street 1:1710 SAUNDERS AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-2431
Practice Address - Country:US
Practice Address - Phone:651-690-0403
Practice Address - Fax:309-273-3634
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN112127-7183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist