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Individual

DR. SAMUEL RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3219 AUGUSTA ST, GREENVILLE, SC 29605-2145
(864) 277-4180
Mailing address
3219 AUGUSTA ST, GREENVILLE, SC 29605-2145
(864) 277-4180

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011552
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
226423
NABP E-PROFILE ID
SC
Enumeration date
01/13/2021
Last updated
01/13/2021
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