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Individual

GREGORY BRAYLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2415 E UNION HILLS DR, PHOENIX, AZ 85050-3146
(602) 867-0561
(602) 493-4753
Mailing address
2415 E UNION HILLS DR, PHOENIX, AZ 85050-3146
(602) 867-0561
(602) 493-4753

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
03122430
OH
183500000X
Pharmacist
Primary
S018707
AZ

Other

Enumeration date
08/29/2011
Last updated
08/29/2011
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