Individual
SHETERIA NECOLE GRAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
2209 HIGHWAY 11 N, PICAYUNE, MS 39466-2065
(601) 799-2087
(601) 799-2971
Mailing address
308 BRUCE ST, PICAYUNE, MS 39466-5206
(601) 347-3674
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT-07621
MS
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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