Individual
MR. JACKSON M BRAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
662 E MAIN ST, FRANKFORT, KY 40601-2338
(502) 223-2827
(502) 227-2026
Mailing address
327 WASH RD, FRANKFORT, KY 40601-8958
(502) 223-2827
(502) 227-2026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007475
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007475
PHARMACIST LICENSE
KY
Enumeration date
12/20/2005
Last updated
07/08/2007
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