Individual
RAYAN PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
420 POLIFKA DR BLDG 1406, SHAW AFB, SC 29152-5100
(803) 895-6466
Mailing address
420 POLIFKA DR BLDG 1406, SHAW AFB, SC 29152-5100
(803) 895-6466
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
E-101566
MS
171000000X
Military Health Care Provider
Primary
E-101566
SC
1835P2201X
Ambulatory Care Pharmacist
Primary
E-101566
SC
Other
Enumeration date
05/14/2024
Last updated
05/01/2026
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