Provider Demographics
NPI:1912094988
Name:RAY, DANNY LEE
Entity type:Individual
Prefix:MR
First Name:DANNY
Middle Name:LEE
Last Name:RAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 E BEVERLEY ST
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-3501
Mailing Address - Country:US
Mailing Address - Phone:540-886-6070
Mailing Address - Fax:540-886-3560
Practice Address - Street 1:1011 N AUGUSTA ST
Practice Address - Street 2:SUITE C
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-3298
Practice Address - Country:US
Practice Address - Phone:540-887-2228
Practice Address - Fax:540-887-1252
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202005276183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist