Individual
GREGG EADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1395 W D ST, NORTH WILKESBORO, NC 28659-3505
(336) 651-2910
(336) 651-2907
Mailing address
502 10TH ST, NORTH WILKESBORO, NC 28659-4004
(607) 341-2210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21187
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0975424
—
NC
Enumeration date
07/05/2010
Last updated
07/05/2010
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