Healthcare Provider Details

I. General information

NPI: 1508408329
Provider Name (Legal Business Name): ALEXANDER CHRISTOPHER GRAY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2019
Last Update Date: 10/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 MONTGOMERY RD
CINCINNATI OH
45242
US

IV. Provider business mailing address

5391 SPRUCE MEADOWS CT
MILFORD OH
45150
US

V. Phone/Fax

Practice location:
  • Phone: 513-865-1111
  • Fax:
Mailing address:
  • Phone: 740-624-4654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03232686
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: