Provider Demographics
NPI:1154642882
Name:MEISTER, GREGORY G (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:G
Last Name:MEISTER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4402 N LAURENT ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-2742
Mailing Address - Country:US
Mailing Address - Phone:361-578-3521
Mailing Address - Fax:361-578-8417
Practice Address - Street 1:2701 N NAVARRO ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3916
Practice Address - Country:US
Practice Address - Phone:361-578-1581
Practice Address - Fax:361-578-9905
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44401183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist