Individual
SPENCER GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
700 N MAIN ST, MARION, SC 29571-2518
(843) 598-8132
Mailing address
644 MCCUTCHEON RD, LAKE CITY, SC 29560-5612
(843) 598-8132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36280
SC
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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