Provider Demographics
NPI:1750641593
Name:MCCASKIE, RAY SCOTT (RPH)
Entity Type:Individual
Prefix:MR
First Name:RAY
Middle Name:SCOTT
Last Name:MCCASKIE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8808 82ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-5904
Mailing Address - Country:US
Mailing Address - Phone:253-588-2138
Mailing Address - Fax:
Practice Address - Street 1:2219 S 37TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-7473
Practice Address - Country:US
Practice Address - Phone:253-671-6002
Practice Address - Fax:253-671-6009
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-28
Last Update Date:2012-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA13713183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist