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NPI Code Detail

MEDICARE: HUBERT RAY BRYAN JR. RPH

MEDICARE:   HUBERT RAY BRYAN JR. RPH
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
1183500000XPharmacist12855AL

General Provider Information

NPI Number : 1538175310
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUBERT RAY BRYAN JR. RPH
Provider Business Mailing Address
First Line : 804 GLOVER AVE
Second Line :
City : ENTERPRISE
State : AL
Zip : 36330-2018
Country : US
Telephone Number : 334-347-5111
Fax Number : 334-347-7100
Provider Business Practice Location Address
First Line : 804 GLOVER AVE
Second Line :
City : ENTERPRISE
State : AL
Zip : 36330-2018
Country : US
Telephone Number : 334-347-5111
Fax Number : 334-347-7100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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Directions to “ HUBERT RAY BRYAN JR. RPH” Practice Location

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