Provider Demographics
NPI:1033493812
Name:GRENYION, VANESSA (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:VANESSA
Middle Name:
Last Name:GRENYION
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:VANESSA
Other - Middle Name:
Other - Last Name:GRENYION
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8141 GREENBACK LN
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-2502
Mailing Address - Country:US
Mailing Address - Phone:916-238-1700
Mailing Address - Fax:916-238-1701
Practice Address - Street 1:8141 GREENBACK LN
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-2502
Practice Address - Country:US
Practice Address - Phone:916-238-1700
Practice Address - Fax:916-238-1701
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63274183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist