Provider Demographics
NPI:1942458542
Name:RAY, GRETCHEN M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:M
Last Name:RAY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:800 BRADBURY DR SE STE 116
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4310
Mailing Address - Country:US
Mailing Address - Phone:505-272-1476
Mailing Address - Fax:505-272-4721
Practice Address - Street 1:2400 TUCKER NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-1734
Practice Address - Fax:505-272-1736
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2024-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMRP000068901835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist