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Individual
CHAD RAY
Active
Individual
CHAD RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00020986
WA
183500000X
Pharmacist
Primary
RPH-0009217
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00020986
STATE PHARMACY LICENSE
WA
01
—
RPH-0009217
STATE PHARMACIST LICENSE
OR
Enumeration date
02/23/2012
Last updated
02/23/2012
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