Individual
SHAWN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
111 DIVISION ST N, STEVENS POINT, WI 54481-1150
(715) 341-5613
Mailing address
111 DIVISION ST N, STEVENS POINT, WI 54481-1150
(715) 341-5613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17320-40
WI
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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