Individual
AMBER D GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 MARKETPLACE DR, WACONIA, MN 55387-1548
(952) 442-4407
(952) 442-5787
Mailing address
851 MARKETPLACE DR, WACONIA, MN 55387-1548
(952) 442-4407
(952) 442-5787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118324
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118324
BOARD OF PHARMACY
MN
Enumeration date
06/06/2018
Last updated
06/06/2018
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