Provider Demographics
NPI:1326374604
Name:BRAY, CASIE LYNN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:CASIE
Middle Name:LYNN
Last Name:BRAY
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 1:7316 MORROW ROSSBURG RD
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:OH
Mailing Address - Zip Code:45152-9437
Mailing Address - Country:US
Mailing Address - Phone:513-446-9164
Mailing Address - Fax:
Practice Address - Street 1:6647 S STATE ROUTE 48
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-9758
Practice Address - Country:US
Practice Address - Phone:513-880-0023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-21
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03230686183500000X
NC19826183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist