Individual
JENNIFER GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
826 N MAIN ST, SHELBYVILLE, TN 37160-2845
(931) 680-4725
(931) 680-7285
Mailing address
48 LIBERTY RD, FAYETTEVILLE, TN 37334-6975
(931) 993-5075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35850
TN
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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