Individual
DONNA K GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 S STATE ROAD 57, WASHINGTON, IN 47501-4599
(812) 254-6195
Mailing address
6060 S 500W, HUNTINGBURG, IN 47542-9785
(812) 631-5841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015025A
IN
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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