Provider Demographics
NPI:1508258898
Name:SPRAY, CASSANDRA (PHARMD)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:SPRAY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:333 E COUNTY LINE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1079
Mailing Address - Country:US
Mailing Address - Phone:317-497-6330
Mailing Address - Fax:
Practice Address - Street 1:333 E COUNTY LINE RD
Practice Address - Street 2:SUITE B
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1079
Practice Address - Country:US
Practice Address - Phone:317-497-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26025024A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist