Organization
GRAYPOTHECARY, LLC
Active
Organization
GRAYPOTHECARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SHANNON BENNETT J.D. (CHIEF EXECUTIVE OFFICER)
(336) 669-7287
Entity
Organization
Contact information
Practice address
2005 SHANNON GRAY CT, JAMESTOWN, NC 27282-9183
(336) 669-7287
Mailing address
PO BOX 1447, ASHEBORO, NC 27204-1447
(336) 669-7287
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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