Provider Demographics
NPI:1306336631
Name:FRANCE, GREGORY J (RPHARMACIST)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:J
Last Name:FRANCE
Suffix:
Gender:M
Credentials:RPHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:797 CARTERS CORNER RD
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-9536
Mailing Address - Country:US
Mailing Address - Phone:614-204-6285
Mailing Address - Fax:
Practice Address - Street 1:797 CARTERS CORNER RD
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-9536
Practice Address - Country:US
Practice Address - Phone:614-204-6285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-11
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03217895183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist