Provider Demographics
NPI:1689615353
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:SEC/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:K
Authorized Official - Last Name:TEBOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-754-3312
Mailing Address - Street 1:318 MAIN ST
Mailing Address - Street 2:PO BOX 428
Mailing Address - City:QUINTER
Mailing Address - State:KS
Mailing Address - Zip Code:67752-9526
Mailing Address - Country:US
Mailing Address - Phone:785-754-3312
Mailing Address - Fax:785-754-3844
Practice Address - Street 1:318 MAIN ST
Practice Address - Street 2:
Practice Address - City:QUINTER
Practice Address - State:KS
Practice Address - Zip Code:67752-9526
Practice Address - Country:US
Practice Address - Phone:785-754-3312
Practice Address - Fax:785-754-3844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2-08129332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0523290001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER