Provider Demographics
NPI:1598850927
Name:PLAS, GREGORY J (PHAMACIST)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:J
Last Name:PLAS
Suffix:
Gender:M
Credentials:PHAMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50475 BARES RUN RD
Mailing Address - Street 2:BOX 91
Mailing Address - City:HANNIBAL
Mailing Address - State:OH
Mailing Address - Zip Code:43931-0091
Mailing Address - Country:US
Mailing Address - Phone:740-483-2371
Mailing Address - Fax:304-455-2174
Practice Address - Street 1:155 NORTH ST
Practice Address - Street 2:
Practice Address - City:NEW MARTINSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26155
Practice Address - Country:US
Practice Address - Phone:304-455-2171
Practice Address - Fax:304-455-2174
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP00004093183500000X
PARP037260R183500000X
OH03-3-14317183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP037260ROtherPHARMACIST LICENSE NUMBER
OH03-3-14317OtherPHAMRAICST LICENSE NUMBER
WARP0004093OtherPHARMACIST LICENSE NUMBER