Individual
DR. GREGORY SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
4700 YELM HWY SE, LACEY, WA 98503-4986
(360) 438-0203
Mailing address
617 WOODDUCK DR SW, OLYMPIA, WA 98502-2672
(801) 201-5510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60669668
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60669668
WASHINTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
08/17/2016
Last updated
08/17/2016
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