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General NPI Number Information
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NPI Number | 1326293341
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Entity Type | Individual
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Provider Name | ROBERT REGINALD RAY RPH
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Gender | Male
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | 3725 RIVERS AVE SUITE 2
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-7038
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Country | US
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Telephone | 843-745-8630
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Fax |
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Provider Business Mailing Address
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Address Line | 541 FLANNERY PL
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City | MT PLEASANT
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State | SC
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Zip | 29466-8312
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Country | US
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Telephone | 843-416-8125
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Fax | 843-416-8125
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 7413
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License Number State | SC
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