NPI 1104971100

Jeffrey M. Ray, PHARMD

Practitioner Pharmacist Canton, MS

Practice location

Address: 300 Nissan Dr, Canton, MS 39046-8562
Phone: (601) 855-8600
Fax: (601) 855-8606
Mailing address: 255 Fox Ln, Canton, MS 39046-4960

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence E-09163 (MS)

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Registry record

NPI: 1104971100
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.