Doctor Name: | GREG ALAN BRYAN |
NPI Number: | 1013290352 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPH |
License Number: | 9251 |
Business Practice Address: | 3639 Crater Lake Hwy Pharmacy Medford, OR - 975049259 |
Business Phone Number: | 5417342482 |
Business Fax Number: | 5417343209 |
Mailing Address: | 3639 Crater Lake Hwy, Pharmacy MEDFORD |
State: | OR |
Postal Code: | 975049259 |
Phone Number: | 5417342482 |
Fax Number: | 5417343209 |
NPI Enumeration Date: | 09/22/2011 |
NPI Last Update Date: | 03/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 9251 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |