Individual
MR. GREGORY SCOTT BARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3325 ANNRY DR, SUMMERFIELD, NC 27358-7906
(336) 555-1212
Mailing address
3325 ANNRY DR, SUMMERFIELD, NC 27358-7906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12527
NC
Other
Enumeration date
05/01/2007
Last updated
09/20/2012
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