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Organization
BG2 CLINICAL SERVICES LLC
Active
Organization
BG2 CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON GREGORY PHARMD (OWNER, DIRECTOR, CREDENTIALING MGR)
(417) 469-7385
Entity
Organization
Contact information
Practice address
857 E MAIN ST STE 4, WILLOW SPRINGS, MO 65793-1512
(417) 469-7385
(417) 469-7386
Mailing address
PO BOX 490, WILLOW SPRINGS, MO 65793-0490
(417) 855-1085
(417) 469-7386
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
183500000X
Pharmacist
—
NULL
183500000X
Pharmacist
—
—
183700000X
Pharmacy Technician
—
NULL
183700000X
Pharmacy Technician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500134121
—
MO
Enumeration date
08/17/2023
Last updated
04/28/2026
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