Search › Missouri › 183500000X
Gary Rae, RPH
NPI 1447840830 · on the registry since 2021
Practice
- Address
- 2000 S Springfield Ave
Bolivar, MO 65613 - Phone
- (417) 326-7455
- Organisation at this address
- Sparks Pharmacy Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-20
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 Missouri