Individual
DR. CARRIE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6760 W NATIONAL AVE, WEST ALLIS, WI 53214-4965
(414) 476-5111
Mailing address
6760 W NATIONAL AVE, WEST ALLIS, WI 53214-4965
(414) 476-5111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17008-40
WI
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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