Jacoby Gray, PHARD

NPI #1003432337 in El Reno, Oklahoma

Provider Information

NPI Number: 1003432337
Entity Type: Individual
Name: Jacoby Gray, PHARD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARD
Enumeration Date: Jun 23, 2020
Last Updated: Jun 23, 2020

Practice Location

Address: 1605 W ELM ST
City: El Reno
State: Oklahoma
ZIP Code: 73036-4261
Phone: (405) 262-4154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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