Individual
JAMES ROBERT RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 AIRPORT DR, ONEIDA, WI 54155-9035
(920) 869-4826
Mailing address
2483 CLEAR BROOK CIR, GREEN BAY, WI 54313-3977
(920) 471-3823
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10971-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
337376
NAPB
WI
Enumeration date
11/14/2019
Last updated
11/14/2019
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