Provider Demographics
NPI:1902138134
Name:GRIBBIN, MARGARET MARY (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:MARY
Last Name:GRIBBIN
Suffix:
Gender:F
Credentials:PHARMACIST
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Mailing Address - Street 1:18849 MCLAUGHLIN AVE
Mailing Address - Street 2:HOLLISWOOD
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1137
Mailing Address - Country:US
Mailing Address - Phone:718-479-1186
Mailing Address - Fax:718-479-8539
Practice Address - Street 1:1346 PENNSYLVANIA AVE
Practice Address - Street 2:BROOKLYN
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11239-2103
Practice Address - Country:US
Practice Address - Phone:718-642-2727
Practice Address - Fax:718-642-0679
Is Sole Proprietor?:No
Enumeration Date:2010-02-15
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY049553-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist