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Individual

MRS. JAMIE SHAW GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-1256
(270) 706-1258
Mailing address
415 N LINCOLN BLVD, HODGENVILLE, KY 42748-1610
(270) 358-3186
(270) 358-0926

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012712
KY

Other

Enumeration date
10/15/2007
Last updated
07/21/2022
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