Provider Demographics
NPI:1689968893
Name:GASIOR, GREGORY JOHN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:JOHN
Last Name:GASIOR
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3424 PARK SOUTH STATION BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-4465
Mailing Address - Country:US
Mailing Address - Phone:412-818-7534
Mailing Address - Fax:
Practice Address - Street 1:1900 MATTHEWS TOWNSHIP PKWY
Practice Address - Street 2:TARGET T0918
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4660
Practice Address - Country:US
Practice Address - Phone:704-846-6902
Practice Address - Fax:704-846-6902
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19171183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist