Individual
MR. BRENT ROY GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH., M.B.A.
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-5195
Mailing address
4600 BROOKEMERE DR, GLEN ALLEN, VA 23060-6504
(804) 217-8570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011752
VA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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