Provider Demographics
NPI:1528365780
Name:SMITH, GREGORY ALLEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:ALLEN
Last Name:SMITH
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 1:2241 GEARY BLVD
Mailing Address - Street 2:SUITE GB146
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3415
Mailing Address - Country:US
Mailing Address - Phone:415-833-4850
Mailing Address - Fax:415-833-9241
Practice Address - Street 1:2241 GEARY BLVD
Practice Address - Street 2:SUITE GB146
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3415
Practice Address - Country:US
Practice Address - Phone:415-833-4850
Practice Address - Fax:415-833-9241
Is Sole Proprietor?:No
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45416183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist