Provider Demographics
NPI:1568661171
Name:MORGANRAY, INC.
Entity Type:Organization
Organization Name:MORGANRAY, INC.
Other - Org Name:NATIONAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNDON
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:LEITNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:303-902-1915
Mailing Address - Street 1:3306 A ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4512
Mailing Address - Country:US
Mailing Address - Phone:402-476-6231
Mailing Address - Fax:402-476-3775
Practice Address - Street 1:3306 A ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4512
Practice Address - Country:US
Practice Address - Phone:402-476-6231
Practice Address - Fax:402-476-3775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE301OtherSTATE LICENSE
NEFN0319865OtherDEA REGISTRATION