Provider Demographics
NPI:1497469324
Name:GREGGS PHARMACY INC (LTC)
Entity type:Organization
Organization Name:GREGGS PHARMACY INC (LTC)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:GREGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-334-2197
Mailing Address - Street 1:20 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-1322
Mailing Address - Country:US
Mailing Address - Phone:301-334-2197
Mailing Address - Fax:301-334-2246
Practice Address - Street 1:20 N 3RD ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-1322
Practice Address - Country:US
Practice Address - Phone:301-334-2197
Practice Address - Fax:301-334-2246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy