Healthcare Provider Details

I. General information

NPI: 1689615353
Provider Name (Legal Business Name): RAY'S PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 MAIN ST
QUINTER KS
67752-9526
US

IV. Provider business mailing address

318 MAIN ST PO BOX 428
QUINTER KS
67752-9526
US

V. Phone/Fax

Practice location:
  • Phone: 785-754-3312
  • Fax: 785-754-3844
Mailing address:
  • Phone: 785-754-3312
  • Fax: 785-754-3844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number2-08129
License Number StateKS

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DORIS K TEBOW
Title or Position: SEC/TREASURER
Credential:
Phone: 785-754-3312