Mavixen Miranda Gregg, RPH

NPI #1750676805 in Atascadero, California

Provider Information

NPI Number
1750676805
Entity Type
Individual
Name
Mavixen Miranda Gregg, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Jun 16, 2011
Last Updated
Jun 16, 2011

Practice Location

Address
7025 EL CAMINO REAL
ZIP Code
93422-4523
Phone
(805) 466-8722

Specialties & Taxonomy Codes

Specialty
Pharmacist

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