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General NPI Number Information
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NPI Number | 1841203007
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Entity Type | Organization
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Legal Business Name | RAYS PHARMACY INC
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 1831 E BROAD ST STE 213
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City | MANSFIELD
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State | TX
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Zip | 76063-9171
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Country | US
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Telephone | 817-477-2525
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Fax | 817-473-4136
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Provider Business Mailing Address
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Address Line | 1831 E BROAD ST STE# 207
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City | MANSFIELD
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State | TX
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Zip | 76063-9170
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Country | US
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Telephone | 817-473-1147
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Fax | 817-473-4631
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Authorized Official
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Title or Position | PRESIDENT AND OWNER
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Name | ROBERT RAY
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Credential | RPH
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Telephone | 817-473-1147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 14440
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License Number State | TX
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