Provider Demographics
NPI:1083969679
Name:RAY, CARRIE RENEE WILLIAMS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:RENEE WILLIAMS
Last Name:RAY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 59
Mailing Address - Street 2:
Mailing Address - City:LILLIAN
Mailing Address - State:AL
Mailing Address - Zip Code:36549-0059
Mailing Address - Country:US
Mailing Address - Phone:251-962-3777
Mailing Address - Fax:251-962-3779
Practice Address - Street 1:2200 S MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-1790
Practice Address - Country:US
Practice Address - Phone:251-943-3320
Practice Address - Fax:251-943-3327
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist