MEDICARE: DR. DAVID RAY READ PHARM.D.

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
1	183500000X	Pharmacist	59	TN
2	183500000X	Pharmacist	T-09714	MS

General Provider Information

NPI Number	:	1982713723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID RAY READ PHARM.D.

Provider Business Mailing Address
First Line	:	7261 S SIWELL RD
Second Line	:
City	:	BYRAM
State	:	MS
Zip	:	39272-9776
Country	:	US
Telephone Number	:	601-372-5884
Fax Number	:	601-372-6531

Provider Business Practice Location Address
First Line	:	7261 S SIWELL RD
Second Line	:
City	:	BYRAM
State	:	MS
Zip	:	39272-9776
Country	:	US
Telephone Number	:	601-372-5884
Fax Number	:	601-372-6531

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	08/04/2010

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