Individual
KENNETH RAY GRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
500 S WILLOW AVE, COOKEVILLE, TN 38501-3727
(931) 525-6240
(931) 528-7982
Mailing address
500 S WILLOW AVE, COOKEVILLE, TN 38501-3727
(931) 525-6240
(931) 528-7982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C5007
TN
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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