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Individual

DR. STEVE GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D, RPH

Contact information

Practice address
601 GALL ST, LOWER BRULE, SD 57548
(605) 473-8226
(605) 473-0708
Mailing address
401 N HARRISON AVE, PIERRE, SD 57501-2616
(605) 224-0789

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302029104
MI
183500000X
Pharmacist
Primary
R-5129
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5302029104
PHARMACIST LICENSE
MI
01
R-5129
PHARMACIST LICENSE
SD
Enumeration date
05/27/2005
Last updated
07/08/2007
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