Individual
MR. PAUL LAWRENCE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1108 NW 18TH ST, OKLAHOMA CITY, OK 73106-6002
(405) 524-7741
Mailing address
1125 SE 12TH ST, MOORE, OK 73160-7008
(405) 799-3178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8714
OK
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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