Organization
BRAY PHARMACY INC
Active
Organization
BRAY PHARMACY INC
Active
Other names
Capital Pharmacy and Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON E. MCINTOSH PHARM.D (OWNER)
(502) 223-2827
Entity
Organization
Contact information
Practice address
662 E MAIN ST, FRANKFORT, KY 40601-2338
(502) 223-2827
(502) 227-2026
Mailing address
662 E MAIN ST, FRANKFORT, KY 40601-2338
(502) 223-2827
(502) 227-2026
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1186150001
KY
332B00000X
Durable Medical Equipment & Medical Supplies
9000882200
KY
332BC3200X
Customized Equipment (DME)
1186150001
KY
332BC3200X
Customized Equipment (DME)
9000882200
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1186150001
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
9000882200
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
1186150001
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
9000882200
KY
335E00000X
Prosthetic/Orthotic Supplier
1186150001
KY
335E00000X
Prosthetic/Orthotic Supplier
9000882200
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18D0968102
CLIA CERTIFICATION
KY
05
—
9000882200
—
KY
01
—
MG0158
KY MED GAS LICENSE
KY
01
—
P01908
STORE KY LICENSE
KY
Enumeration date
05/15/2007
Last updated
06/06/2016
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