RAY'S PHARMACY, INC.
1831 E Broad St 101
Mansfield, TX 76063
817-473-1145
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | TX | 01376 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP | 4511374 | TX | OTHER |
100244580A | OK | MEDICAID | |
DMERC REG D EDI # | D08601893 | TX | OTHER |
140266 | TX | MEDICAID | |
MEDICARE EDI NO. | C08409365 | TX | OTHER |