Individual
MRS. SHANA LEVINE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
690 14TH ST., BEAUMONT, TX 77702
(409) 842-4445
(409) 842-5259
Mailing address
3725 CHAMPIONS DR., BEAUMONT, TX 77707
(409) 842-4445
(409) 842-5259
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
34089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PERSON PHARMACY LICE
34089
TX
Enumeration date
11/13/2006
Last updated
07/08/2007
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