Individual
DR. JASON CHARLES GRAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
815 E 6TH ST, CHICKASAW NATION HEALTH CLINIC, TISHOMINGO, OK 73460-1800
(877) 240-2720
Mailing address
2513 W MORROW RD, TISHOMINGO, OK 73460-4226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13071
OK
Other
Enumeration date
11/22/2005
Last updated
07/08/2007
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