Provider Demographics
NPI:1245531581
Name:GREEMORE, KEA LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KEA
Middle Name:LYNN
Last Name:GREEMORE
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 1:570 N MONTANA ST
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:MT
Mailing Address - Zip Code:59725-3315
Mailing Address - Country:US
Mailing Address - Phone:406-683-6226
Mailing Address - Fax:406-683-6253
Practice Address - Street 1:570 N MONTANA ST
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:MT
Practice Address - Zip Code:59725-3315
Practice Address - Country:US
Practice Address - Phone:406-683-6226
Practice Address - Fax:406-683-6253
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3705183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist