Provider Demographics
NPI:1275549602
Name:DAY, CLARE RAVEN (PHARM D RPH)
Entity Type:Individual
Prefix:DR
First Name:CLARE
Middle Name:RAVEN
Last Name:DAY
Suffix:
Gender:F
Credentials:PHARM D RPH
Other - Prefix:MRS
Other - First Name:CLARE
Other - Middle Name:RAVEN
Other - Last Name:WONN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:43 WILLOW COVE
Mailing Address - Street 2:
Mailing Address - City:AUXIER
Mailing Address - State:KY
Mailing Address - Zip Code:41602
Mailing Address - Country:US
Mailing Address - Phone:606-866-6750
Mailing Address - Fax:
Practice Address - Street 1:MAIN STREET
Practice Address - Street 2:OUR LADY OF THE WAY HOSPITAL
Practice Address - City:MARTIN
Practice Address - State:KY
Practice Address - Zip Code:41649
Practice Address - Country:US
Practice Address - Phone:606-285-6400
Practice Address - Fax:606-285-6449
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYLK183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist