Individual
DR. JERRY R GRAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1180 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4228
(919) 938-0591
Mailing address
1915 DAVIS RD UNIT C, HILLSBOROUGH, NC 27278-7677
(919) 801-8251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23524
NC
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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