Provider Demographics
NPI:1285200444
Name:LOW, GREG A (RPH, PHD)
Entity Type:Individual
Prefix:DR
First Name:GREG
Middle Name:A
Last Name:LOW
Suffix:
Gender:M
Credentials:RPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 NASHUA ST FL 7
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-1100
Mailing Address - Country:US
Mailing Address - Phone:617-643-0636
Mailing Address - Fax:
Practice Address - Street 1:125 NASHUA ST FL 7
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-1100
Practice Address - Country:US
Practice Address - Phone:617-643-0636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA253671835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIRPH0412OtherPHARMACY LICENSE
VT033-0003462OtherPHARMACY LICENSE
MA25367OtherPHARMACY LICENSE