Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary L Rae, RPH

Individual provider Pharmacist · NPI 1447840830

Gary L Rae, RPH is a Pharmacist in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

2000 S Springfield Ave
Bolivar, MO 65613-9654
Phone: (417) 326-7455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2007008323 (MO)

Record details

NPI number1447840830
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedJanuary 20, 2021
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing address2000 S Springfield Ave, Bolivar, MO 65613-9654

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