Individual
MR. GREG ALLEN SELVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 655-2634
(765) 655-2636
Mailing address
423 E FRANKLIN ST, GREENCASTLE, IN 46135-1305
(765) 653-4932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017344A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26017344A
LICENSE
IN
Enumeration date
02/21/2007
Last updated
07/08/2007
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