Provider Demographics
NPI:1093929903
Name:MCKEEVER, GREG C (PHARMD)
Entity Type:Individual
Prefix:
First Name:GREG
Middle Name:C
Last Name:MCKEEVER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 MONASTERY RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-1743
Mailing Address - Country:US
Mailing Address - Phone:912-598-4572
Mailing Address - Fax:
Practice Address - Street 1:32 MONASTERY RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411-1743
Practice Address - Country:US
Practice Address - Phone:912-598-4572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH021997183500000X, 1835N0905X
FLPS 34321183500000X
SC011670183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835N0905XPharmacy Service ProvidersPharmacistNuclear