Individual
DR. MARISA LYNN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 N BALTIMORE ST, KIRKSVILLE, MO 63501-3214
(816) 800-2856
Mailing address
29480 KELLOGG AVE, MACON, MO 63552-3701
(816) 800-2856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2016026625
MO
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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