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Contact Information

SHANNON K GRAY, RPH,CDE
1594 FREEDOM BLVD
SUITE 102 B
FLORENCE, SC29505-6046
 Phone: 843-674-2700
 Fax: 843-674-2729
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for SHANNON K GRAY · (Female)

NPI # 1568827749
Status Active
Credentials RPH,CDE
Entity Individual
Enumeration date 12/15/2015
Last updated 12/16/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 21410166
  • SC License # 9108
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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