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Individual

GREGORY HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3588 STATE ROUTE 31, BALDWINSVILLE, NY 13027-8232
(315) 715-6030
Mailing address
3167 SAMANTHA DR, BALDWINSVILLE, NY 13027-8979

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202209329
VA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
060376
NY

Other

Enumeration date
07/30/2011
Last updated
04/21/2022
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