Individual
STACEY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
495 W 4TH ST, DOVE CREEK, CO 81324-4900
(970) 677-2291
Mailing address
150 MERCURY VILLAGE DR, DURANGO, CO 81301-8955
(970) 252-3200
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHAT.0019656
CO
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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