Individual
CHAD RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
200 SOUTH 1ST PLACE, UNIT 1, HERMISTON, OR 97838
(541) 567-6850
Mailing address
200 SOUTH 1ST PLACE, UNIT 1, HERMISTON, OR 97838
(541) 567-6850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00020986
WA
183500000X
Pharmacist
Primary
RPH-0009217
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00020986
STATE PHARMACY LICENSE
WA
01
—
RPH-0009217
STATE PHARMACIST LICENSE
OR
Enumeration date
02/23/2012
Last updated
02/23/2012
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