Organization
GRAY PHARMACY
Active
Other names
GRAY RESPIRATORY AND HOME CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LOWE (OFFICE MANAGER)
(423) 477-2800
Entity
Organization
Contact information
Practice address
208 SUNCREST ST, SUITE 4, GRAY, TN 37615-3494
(423) 477-2800
(423) 477-2804
Mailing address
P.O. BOX 8012, GRAY, TN 37615-0012
(423) 477-2800
(423) 477-2804
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000860
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010228115
—
VA
01
—
0149630001
MEDICARE ID
TN
01
—
0149630001
MEDICARE ID
VA
05
—
0149630001
—
TN
Enumeration date
07/15/2006
Last updated
12/29/2014
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