Provider Demographics
NPI:1801163290
Name:MORROW, GREGG STEPHEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GREGG
Middle Name:STEPHEN
Last Name:MORROW
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 1:1364 SPOTSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:VA
Mailing Address - Zip Code:22508-2140
Mailing Address - Country:US
Mailing Address - Phone:540-424-2077
Mailing Address - Fax:
Practice Address - Street 1:1364 SPOTSWOOD DR
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:VA
Practice Address - Zip Code:22508-2140
Practice Address - Country:US
Practice Address - Phone:540-424-2077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202012330183500000X
GARPH016540183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist