Provider Demographics
NPI:1265151294
Name:GRAY, MEGAN A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:A
Last Name:GRAY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 GOFFIN CT
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06478-2714
Mailing Address - Country:US
Mailing Address - Phone:203-997-2300
Mailing Address - Fax:
Practice Address - Street 1:2 GOFFIN CT
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:CT
Practice Address - Zip Code:06478-2714
Practice Address - Country:US
Practice Address - Phone:203-997-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0015958183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist