Individual
MS. SANDRA L GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
5880 S JACKSON RD, JACKSON, MI 49201-8313
(517) 414-6695
Mailing address
5880 S JACKSON RD, JACKSON, MI 49201-8313
(517) 414-6695
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5302030049
MI
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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