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NPI Code Detail

MEDICARE: WRAY PHARMACY INC

MEDICARE: WRAY PHARMACY INC
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
13336C0004XCompounding Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacy
43336C0003XCommunity/Retail Pharmacy032662NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12145851OTHERPK

General Provider Information

NPI Number : 1265843445
Entity Type Code : Organization
Provider Name (Legal Business Name) : WRAY PHARMACY INC
Provider Business Mailing Address
First Line : 533 E 7TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-4801
Country : US
Telephone Number : 718-282-9200
Fax Number : 718-282-7930
Provider Business Practice Location Address
First Line : 533 E 7TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-4801
Country : US
Telephone Number : 718-282-9200
Fax Number : 718-282-7930
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : JELANI WRAY
Credential :
Telephone Number : 718-612-1232
Provider Enumeration Date : 05/09/2014
Last Update Date : 05/23/2014

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Directions to “WRAY PHARMACY INC ” Practice Location

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