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NPI Code Detail

MEDICARE: WILLIAM RAY

MEDICARE:   WILLIAM  RAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist7856AL
2183500000XPharmacist015207FL

General Provider Information

NPI Number : 1215397930
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM RAY
Provider Business Mailing Address
First Line : 1017 RIVER FALLS ST
Second Line :
City : ANDALUSIA
State : AL
Zip : 36420-2532
Country : US
Telephone Number : 334-222-9414
Fax Number :
Provider Business Practice Location Address
First Line : 1017 RIVER FALLS ST
Second Line :
City : ANDALUSIA
State : AL
Zip : 36420-2532
Country : US
Telephone Number : 334-222-9414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2016
Last Update Date : 02/24/2016

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Directions to “ WILLIAM RAY ” Practice Location

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