Organization
GRAY DRUG CO INC
Active
Other names
GRAY DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY WALKER PHARM D (PRESIDENT)
(478) 986-3161
Entity
Organization
Contact information
Practice address
157 BILL CONN PKWY, GRAY, GA 31032-6349
(478) 986-3161
(478) 986-5056
Mailing address
PO BOX 490, GRAY, GA 31032-0490
(478) 986-3161
(478) 986-5056
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE000635
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000028531A
—
GA
01
—
2012387
PK
—
Enumeration date
03/14/2006
Last updated
05/04/2016
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