Provider Demographics
NPI:1699494369
Name:ADAMS, GREGORY NEAL (RPH)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:NEAL
Last Name:ADAMS
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:PO BOX 2152
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75483-2152
Mailing Address - Country:US
Mailing Address - Phone:903-243-2147
Mailing Address - Fax:
Practice Address - Street 1:151 COUNTY ROAD 4508
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-0786
Practice Address - Country:US
Practice Address - Phone:903-243-2147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27487183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist