Provider Demographics
NPI:1811321078
Name:ARMSTRONG, GREGORY THOMAS (RPH)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:THOMAS
Last Name:ARMSTRONG
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 1:120 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JOHN DAY
Mailing Address - State:OR
Mailing Address - Zip Code:97845-1211
Mailing Address - Country:US
Mailing Address - Phone:541-575-0629
Mailing Address - Fax:541-575-2342
Practice Address - Street 1:120 E MAIN ST
Practice Address - Street 2:
Practice Address - City:JOHN DAY
Practice Address - State:OR
Practice Address - Zip Code:97845-1211
Practice Address - Country:US
Practice Address - Phone:541-575-0629
Practice Address - Fax:541-575-2342
Is Sole Proprietor?:No
Enumeration Date:2013-08-23
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR7339183500000X
ORRPH-00073391835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist