Provider Demographics
NPI:1831488824
Name:SELLWOOD, GREGORY E (RPH)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:E
Last Name:SELLWOOD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MEADOW CREEK LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-4162
Mailing Address - Country:US
Mailing Address - Phone:717-620-8193
Mailing Address - Fax:
Practice Address - Street 1:4957 CARLISLE PIKE
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-3025
Practice Address - Country:US
Practice Address - Phone:717-975-0117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442645183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist