Provider Demographics
NPI:1184222499
Name:HOGREFE, GRETA ANN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:GRETA
Middle Name:ANN
Last Name:HOGREFE
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 1:709 FIR ST
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:NE
Mailing Address - Zip Code:68779-2326
Mailing Address - Country:US
Mailing Address - Phone:712-229-3983
Mailing Address - Fax:
Practice Address - Street 1:120 E NORFOLK AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-5300
Practice Address - Country:US
Practice Address - Phone:402-371-0610
Practice Address - Fax:402-844-3157
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19979183500000X
SD5357183500000X
NE12074183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist