Individual provider · Type 1 NPI

Khadijah Nicosha Gray

Pharmacist · Jupiter, FL

NPI number 1023731809 Active

Practice location

575 W Indiantown Rd
Jupiter, FL 33458-3540

Call (561) 746-8212 Map

Mailing address

5653 SE Mercedes Ave
Stuart, FL 34997-8476

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS62109 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1023731809

Khadijah Nicosha Gray's National Provider Identifier is 1023731809, issued on Sep 26, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jupiter, FL. The record was last updated on Sep 26, 2022.