Most Relevant Information
Provider Data
NPI Number: | 1003179003 |
Provider Name: | JUDITH WRAY PHARM.D. |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | PS46575 |
Most Important Dates
Enumeration Date: | 06/25/2012 |
Last Updated: | 06/25/2012 |
Provider Practice Location
281 SW PORT ST. LUCIE BLVD
PORT ST. LUCIE
FL
34984
Practice Location Phone/Fax
Phone: | 7728791330 |
Fax: |
Provider Mailing Location
4295 DAWNRIDGE STREET
PALM BEACH GARDENS
FL
33410
Provider Mailing Phone/Fax
Phone: | 5613390253 |
Fax: |