Provider Demographics
NPI:1801118187
Name:GRAY, HEATHER M (RPH)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:M
Last Name:GRAY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3662 FOX HILL DR
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17202-7057
Mailing Address - Country:US
Mailing Address - Phone:717-372-5839
Mailing Address - Fax:
Practice Address - Street 1:1180 WALNUT BOTTOM RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-9160
Practice Address - Country:US
Practice Address - Phone:717-243-2271
Practice Address - Fax:717-249-9326
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-27
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI1000536183500000X
PARP438004183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist