Individual
MR. DAVID CYRUS RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2020 COMMERCE DR, MELBOURNE, FL 32904-2335
(321) 952-6020
(321) 952-6037
Mailing address
1407 ROCKLEDGE DR, ROCKLEDGE, FL 32955-3718
(321) 639-3624
(321) 639-3624
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
3256
TN
183500000X
Pharmacist
Primary
PS10758
FL
183500000X
Pharmacist
PU1409
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3256
TENNESSEE PHARM LICENSE
TN
01
—
PS10758
PRIMARY PHARM LICENSE
FL
01
—
PU 1409
CONSULTANCE PHARM LICENSE
FL
Enumeration date
06/07/2007
Last updated
07/08/2007
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