Provider Demographics
NPI:1740884022
Name:MURRAY, RAYMOND BRIAN SR (PHARMACIST)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:BRIAN
Last Name:MURRAY
Suffix:SR
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 TURNPIKE AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-1416
Mailing Address - Country:US
Mailing Address - Phone:401-682-2098
Mailing Address - Fax:401-683-3052
Practice Address - Street 1:10 TURNPIKE AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-1416
Practice Address - Country:US
Practice Address - Phone:401-682-2098
Practice Address - Fax:401-683-3052
Is Sole Proprietor?:No
Enumeration Date:2020-11-26
Last Update Date:2020-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI03580183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist