Provider Demographics
NPI:1669441424
Name:RAY, DENNIS LYNN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:LYNN
Last Name:RAY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5451 MITTENDORFF LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-3906
Mailing Address - Country:US
Mailing Address - Phone:703-971-5004
Mailing Address - Fax:
Practice Address - Street 1:5203 LEESBURG PIKE
Practice Address - Street 2:SUITE 901
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3401
Practice Address - Country:US
Practice Address - Phone:703-824-7706
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist