Individual
MR. MIKE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
600 COURT ST, FULTON, MO 65251-1903
(573) 642-6892
(573) 642-9447
Mailing address
5001 E DEER NOLL RD, COLUMBIA, MO 65201-9785
(573) 442-5454
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40838
MO
Other
Enumeration date
05/15/2010
Last updated
05/15/2010
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