Provider Demographics
NPI:1114225869
Name:CRANSTON, GREGORY HARWOOD JR (PHARM D)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:HARWOOD
Last Name:CRANSTON
Suffix:JR
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 N DIVISION ST NW
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-2327
Mailing Address - Country:US
Mailing Address - Phone:706-235-5591
Mailing Address - Fax:706-232-3214
Practice Address - Street 1:15 N DIVISION ST NW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-2327
Practice Address - Country:US
Practice Address - Phone:706-235-5591
Practice Address - Fax:706-232-3214
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH025167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist