Provider Demographics
NPI:1215941216
Name:C & S KRAY, INC.
Entity type:Organization
Organization Name:C & S KRAY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:717-534-1300
Mailing Address - Street 1:731 CHERRY DR
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2099
Mailing Address - Country:US
Mailing Address - Phone:717-534-1300
Mailing Address - Fax:717-534-1707
Practice Address - Street 1:731 CHERRY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2099
Practice Address - Country:US
Practice Address - Phone:717-534-1300
Practice Address - Fax:717-534-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP414564L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014767300002Medicaid
PA0921940001Medicare NSC