Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ray Haley Jr.

Individual provider Pharmacist · NPI 1063112688

Ray Haley Jr. is a Pharmacist in Tyler, Texas. Licensed in Georgia, Louisiana, Oklahoma and Texas. Registered with an NPI since 2023.

Licensed in
GA, LA, OK, TX
In the registry since
2023
Specialties on file
4
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Practice location Address checks out

5012 Profit Dr
Tyler, TX 75707-1839
Phone: (855) 553-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 30703 (TX)
Pharmacist Taxonomy 183500000X · Licence RPH033548 (GA)
Pharmacist Taxonomy 183500000X · Licence PST.022861 (LA)
Pharmacist Taxonomy 183500000X · Licence 17457 (OK)

Record details

NPI number1063112688
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 3, 2023
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023
Mailing address180 Kwando Ln, Bullard, TX 75757-3006

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