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Individual

GREG ALAN BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3639 CRATER LAKE HWY, PHARMACY, MEDFORD, OR 97504-9259
(541) 734-2482
(541) 734-3209
Mailing address
3639 CRATER LAKE HWY, PHARMACY, MEDFORD, OR 97504-9259
(541) 734-2482
(541) 734-3209

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9251
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
9251
OR

Other

Enumeration date
09/22/2011
Last updated
03/08/2016
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