Individual
MS. NANCY DRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
621 AZTALAN DR, MADISON, WI 53718-3207
(608) 222-6388
Mailing address
621 AZTALAN DR, MADISON, WI 53718-3207
(608) 222-6388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R8413-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18350000X
—
WI
Enumeration date
09/19/2016
Last updated
09/19/2016
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