Provider Demographics
NPI:1447850714
Name:PRAY, GABRIEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:
Last Name:PRAY
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 1:923 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:OK
Mailing Address - Zip Code:73651-5435
Mailing Address - Country:US
Mailing Address - Phone:580-726-2630
Mailing Address - Fax:580-726-2769
Practice Address - Street 1:923 W 11TH ST
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:OK
Practice Address - Zip Code:73651-5435
Practice Address - Country:US
Practice Address - Phone:580-726-2630
Practice Address - Fax:580-726-2769
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15627183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist