Provider Demographics
NPI:1194019273
Name:HINDERY, GREG (PHARMD)
Entity Type:Individual
Prefix:
First Name:GREG
Middle Name:
Last Name:HINDERY
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 1:111 MERCHANT ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3730
Mailing Address - Country:US
Mailing Address - Phone:513-672-5800
Mailing Address - Fax:
Practice Address - Street 1:111 MERCHANT ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:OH
Practice Address - Zip Code:45246-3730
Practice Address - Country:US
Practice Address - Phone:513-672-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-230520183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist