Provider Demographics
NPI:1760883532
Name:MCCLURE, RAYMOND II (RPH)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:
Last Name:MCCLURE
Suffix:II
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:PO BOX 50745
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76206-0745
Mailing Address - Country:US
Mailing Address - Phone:940-383-1240
Mailing Address - Fax:940-383-2321
Practice Address - Street 1:2800 SHORELINE DR
Practice Address - Street 2:SUITE 120
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-0128
Practice Address - Country:US
Practice Address - Phone:940-383-1240
Practice Address - Fax:940-383-2321
Is Sole Proprietor?:No
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22355183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist