Provider Demographics
NPI:1396022836
Name:MCGRENERA, ROSEMARY (RPH)
Entity Type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:
Last Name:MCGRENERA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10636 WHITE TAIL RUN
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-8868
Mailing Address - Country:US
Mailing Address - Phone:708-460-8227
Mailing Address - Fax:
Practice Address - Street 1:10636 WHITE TAIL RUN
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-8868
Practice Address - Country:US
Practice Address - Phone:708-460-8227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051032338183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist