Mullins, Gregory Brian

Mullins, Gregory Brian is an sole proprietor health care provider with primary practice located at 11231 Indian Creek Rd , Pound VA 24279. He recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Mullins, Gregory Brian can be contacted via phone (276) 796-2200.

Contact Information

Primary practice address
11231 Indian Creek Rd Pound VA 24279
Phone: (276) 796-2200
Fax: (276) 796-2202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 0202011428 Virginia
Pharmacy Service Providers / Pharmacist 183500000X 0202011428 Virginia

Profile Details

NPI number 1174119788
LBN Legal business name Mullins, Gregory Brian
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2020
Last updated Dec 17th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174119788 NPPES
Virginia MEDICAID 010266238
Virginia MEDICAID 7100266980

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