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Jacoby Gray, PHARD
NPI 1003432337 · on the registry since 2020
Practice
- Address
- 1605 W Elm St
El Reno, OK 73036 - Phone
- (405) 262-4154
- Fax
- (405) 262-0912
- Organisation at this address
- Canadian Valley Rx, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma