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Individual

ERIC GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
800 ROSE ST # H110, LEXINGTON, KY 40536-3315
(317) 446-6531
Mailing address
4057 MOONCOIN WAY APT 12208, LEXINGTON, KY 40515-6099

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018547
KY
390200000X
Student in an Organized Health Care Education/Training Program
45017806A
IN

Other

Enumeration date
04/04/2016
Last updated
03/17/2018
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