NPI 1003432337

Jacoby Gray, PHARD

Practitioner Pharmacist El Reno, OK

Practice location

Address: 1605 W Elm St, El Reno, OK 73036-4261
Phone: (405) 262-4154
Fax: (405) 262-0912

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 18283 (OK)

Other Pharmacist providers in Oklahoma →

Registry record

NPI: 1003432337
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2020
Record last updated: 23 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.