Provider Demographics
NPI:1740561885
Name:GREAVU, JANICE M (RPH)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:M
Last Name:GREAVU
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 1:3045 RIDGELINE TRL
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-4782
Mailing Address - Country:US
Mailing Address - Phone:330-673-5234
Mailing Address - Fax:
Practice Address - Street 1:361 E WATERLOO RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-1218
Practice Address - Country:US
Practice Address - Phone:330-724-2709
Practice Address - Fax:330-724-7428
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03219509183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist