Organization
BRYAN GREGOR, INC.
Active
Other names
Bryan's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN L GREGOR (PRESIDENT)
(507) 238-4291
Entity
Organization
Contact information
Practice address
1108 E BLUE EARTH AVE, FAIRMONT, MN 56031-4227
(507) 238-4291
(507) 238-2336
Mailing address
1108 E BLUE EARTH AVE, FAIRMONT, MN 56031-4227
(507) 238-4291
(507) 238-2336
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
259999-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2402749
NCPDP NUMBER
MN
Enumeration date
08/25/2006
Last updated
08/22/2020
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