Organization
GREGG, INC.
Active
Other names
The Medicine Store
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J GREGG R. PH. (PRESIDENT)
(508) 778-5928
Entity
Organization
Contact information
Practice address
596 W MAIN ST, HYANNIS, MA 02601-3465
(508) 778-5928
Mailing address
596 W MAIN ST, HYANNIS, MA 02601-3465
(508) 778-5928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15874
MA
3336C0003X
Community/Retail Pharmacy
Primary
DS2638
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405329
—
MA
01
—
2226632
NCPDP #
MA
Enumeration date
06/18/2006
Last updated
06/14/2012
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