Provider Demographics
NPI:1619267804
Name:MCGREEVY, KATRINA MARIE (PHARM D, RPH)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:MARIE
Last Name:MCGREEVY
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 THORPE LN
Mailing Address - Street 2:
Mailing Address - City:WEST KINGSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02892-1085
Mailing Address - Country:US
Mailing Address - Phone:401-556-5776
Mailing Address - Fax:
Practice Address - Street 1:37 S BROAD ST
Practice Address - Street 2:
Practice Address - City:PAWCATUCK
Practice Address - State:CT
Practice Address - Zip Code:06379-7909
Practice Address - Country:US
Practice Address - Phone:860-599-4030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-09
Last Update Date:2011-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0010517183500000X
RI04506183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist