Provider Demographics
NPI:1992717508
Name:RAY'S PHARMACY, INC
Entity type:Organization
Organization Name:RAY'S PHARMACY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RPH PIC
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:D
Authorized Official - Last Name:KINSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:254-386-3121
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:TX
Mailing Address - Zip Code:76531-0686
Mailing Address - Country:US
Mailing Address - Phone:254-386-3121
Mailing Address - Fax:254-386-3359
Practice Address - Street 1:105 EAST HENRY ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:TX
Practice Address - Zip Code:76531-1909
Practice Address - Country:US
Practice Address - Phone:254-386-3121
Practice Address - Fax:254-386-3359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204523336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4521539OtherNCPDP
TX144999Medicaid