Provider Demographics
NPI:1104955426
Name:POSCH, GREGORY EDWARD (RPH)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:EDWARD
Last Name:POSCH
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 1:1500 SUNSET DR SW
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-3854
Mailing Address - Country:US
Mailing Address - Phone:507-455-1102
Mailing Address - Fax:
Practice Address - Street 1:1929 S CEDAR AVE
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-4302
Practice Address - Country:US
Practice Address - Phone:507-455-1102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN112857183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist