DIANNE BASFORD RAY

LYNN HAVEN, FL
NPI1407062508
Other NameELIZABETH DIANNE RAY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS0019043)
Additional Taxonomies183500000X Pharmacist
(Licence: FL  PH21284)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
Mrs. DIANNE BASFORD RAY RPH
1812 HWY 77 SO UNIT #119
LYNN HAVEN, FL 32444
Phone number: 850-271-8016
Mailing Address
Mrs. DIANNE BASFORD RAY RPH
516 E 2ND ST
LYNN HAVEN, FL 32444
Phone number: 850-271-8788