Individual
PHILLIP J GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4467 DEVINE ST, COLUMBIA, SC 29205-3611
(803) 787-2527
Mailing address
4467 DEVINE ST, COLUMBIA, SC 29205-3611
(803) 787-2527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4587
SC
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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