Individual
GREGORY WILLIAM SACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12647 OLIVE BLVD STE 200, SAINT LOUIS, MO 63141-6345
(800) 325-3982
Mailing address
12647 OLIVE BLVD STE 200, SAINT LOUIS, MO 63141-6345
(800) 325-3982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03315816
OH
183500000X
Pharmacist
Primary
11834
AZ
183500000X
Pharmacist
5302022110
MI
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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