IndividualActive
Greg Kidd, PHARM.D
NPI 1487757266 · Pharmacotherapy Pharmacist · Phoenix, AZ
Provider details
- NPI number
- 1487757266
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARM.D
- Sex
- Male
- Sole proprietor
- No
- License
- 11340 (AZ)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone: (602) 277-5551
Approximate (ZIP-level) locationGet directions
Mailing address
3424 W Tanya Trl
Phoenix, AZ 85086-4328
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.