Provider Demographics
NPI:1437437167
Name:GREENWOOD, STEPHANIE EDWARDS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:EDWARDS
Last Name:GREENWOOD
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 1:701 W FRANKLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-3830
Mailing Address - Country:US
Mailing Address - Phone:704-867-9611
Mailing Address - Fax:704-864-7466
Practice Address - Street 1:701 W FRANKLIN BLVD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-3830
Practice Address - Country:US
Practice Address - Phone:704-867-9611
Practice Address - Fax:704-864-7466
Is Sole Proprietor?:No
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20418183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist