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General NPI Number Information
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NPI Number | 1376555037
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Entity Type | Organization
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Legal Business Name | RAY'S PHARMACY, INC.
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 301 W KENNEDALE PKWY
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City | KENNEDALE
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State | TX
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Zip | 76060-2421
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Country | US
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Telephone | 817-478-8225
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Fax | 817-483-2236
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Provider Business Mailing Address
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Address Line | PO BOX 279
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City | KENNEDALE
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State | TX
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Zip | 76060-0279
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Country | US
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Telephone | 817-478-8225
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Fax | 817-483-2236
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. ROBERT DANIEL RAY
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Credential | R.PH.
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Telephone | 817-473-1505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 12743
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License Number State | TX
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