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
—
—
183500000X
Pharmacist
—
—
183700000X
Pharmacy Technician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
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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