Provider Demographics
NPI:1225766140
Name:MCGREEVY, MAGGIE M (PHARMD)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:M
Last Name:MCGREEVY
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 1:250 GRIFFIN RD APT 103
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-2861
Mailing Address - Country:US
Mailing Address - Phone:160-569-1441
Mailing Address - Fax:
Practice Address - Street 1:150 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-7241
Practice Address - Country:US
Practice Address - Phone:207-626-0364
Practice Address - Fax:207-626-0470
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR71652183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist