Provider Demographics
NPI:1790782746
Name:HADLEY, GARY RAY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:RAY
Last Name:HADLEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 5TH ST UNIT 500
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-2935
Mailing Address - Country:US
Mailing Address - Phone:406-925-0176
Mailing Address - Fax:
Practice Address - Street 1:930 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-5558
Practice Address - Country:US
Practice Address - Phone:319-331-2552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-06
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-153301835G0303X
IA160981835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric