Individual
KELLY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 790-8000
Mailing address
261 LEVITICUS DR, BUNKER HILL, WV 25413-3597
(540) 429-5230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218054
VA
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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