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Individual

DR. MICAH RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1477 STATE HIGHWAY 248, BRANSON, MO 65616-7477
(417) 337-9529
(847) 396-3179
Mailing address
672 N GALILEO DR, NIXA, MO 65714-7893
(501) 827-9783

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2014030500
MO

Other

Enumeration date
04/07/2016
Last updated
04/07/2016
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