Provider Demographics
NPI:1194521450
Name:RAY, SAVANNA MACHELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SAVANNA
Middle Name:MACHELLE
Last Name:RAY
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10677 COUNTRY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7819
Mailing Address - Country:US
Mailing Address - Phone:573-429-5081
Mailing Address - Fax:
Practice Address - Street 1:9832 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-1695
Practice Address - Country:US
Practice Address - Phone:314-993-4031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014036881183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist