Gregg, Amber D
Gregg, Amber D is an individual health care provider with primary practice located at 851 Marketplace Dr , Waconia MN 55387-1548. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gregg, Amber D can be contacted via phone (952) 442-4407.Contact Information
Primary practice address
851 Marketplace Dr
Waconia MN 55387-1548
Phone: (952) 442-4407
Fax: (952) 442-5787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 118324 | Minnesota |
Profile Details
| NPI number | 1710479597 |
|---|---|
| LBN Legal business name | Gregg, Amber D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2018 |
| Last updated | Jun 6th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710479597 | NPPES |
| Minnesota | Other | 118324 | BOARD OF PHARMACY |
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