Organization
GRAY PHARM INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER A GRAYSON RPH (OWNER/PHARMACIST)
(318) 323-2883
Entity
Organization
Contact information
Practice address
1510 S 2ND ST, MONROE, LA 71202-2742
(318) 323-2883
(318) 323-8732
Mailing address
1510 S 2ND ST, MONROE, LA 71202-2742
(318) 323-2883
(318) 323-8732
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2609-IR
LA
3336C0003X
Community/Retail Pharmacy
Primary
2609-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1260657
—
LA
01
—
1924489
NCPDP #
LA
Enumeration date
05/16/2006
Last updated
03/07/2023
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