Organization
RAY'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DANIEL RAY R.PH. (OWNER/PRESIDENT)
(817) 473-1505
Entity
Organization
Contact information
Practice address
1831 E BROAD ST, 101, MANSFIELD, TX 76063-9170
(817) 473-1145
(817) 473-6749
Mailing address
1831 E BROAD ST, 207, MANSFIELD, TX 76063-9170
(817) 473-1147
(817) 473-9555
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
01376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244580A
—
OK
05
—
140266
—
TX
01
—
4511374
NCPDP
TX
01
—
C08409365
MEDICARE EDI NO.
TX
01
—
D08601893
DMERC REG D EDI #
TX
Enumeration date
05/12/2006
Last updated
09/05/2014
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