Raley'S Arizona Llc in Lake Havasu City - Pharmacy
Raley'S Arizona Llc - NPI 1083729008
Raley'S Arizona Llc is a Pharmacy in Lake Havasu City, Arizona. Raley'S Arizona Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Raley'S Arizona Llc is 1083729008. The last update date is 2022-04-29.
Raley'S Arizona Llc's current location address is 3269 Maricopa Ave, Lake Havasu City, Arizona. You can contact this provider via phone number 9288549551 and fax number 9288549553. The mailing address for Raley'S Arizona Llc is 3269 Maricopa Ave, Lake Havasu City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Raley'S Arizona Llc |
|---|---|
| Address | 3269 Maricopa Ave, Lake Havasu City, Arizona |
| Phone Number | 9288549551 |
| Fax Number | 9288549553 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Mckinley Mike |
| Telephone Number | 4808955372 |
NPI Number Detail
| NPI Number | 1083729008 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2022-04-29 |
Provider Mailing Address Detail
| Address | 3269 Maricopa Ave |
|---|---|
| City | Lake Havasu City |
| State | Arizona (AZ) |
| Post Code | 864068593 |
| Phone Number | 9288549551 |
| Fax Number | 9288549553 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
|
Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 327432 | NCPDP PROVIDER IDENTIFICATION | ||
| 739063 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Raley'S Arizona Llc by the Centers for Medicare & Medicaid Services?
The Raley'S Arizona Llc has been assigned the NPI (National Provider Identifier) 1083729008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Raley'S Arizona Llc is physically located?
The Raley'S Arizona Llc is physically situated at the following address: 3269 Maricopa Ave, Lake Havasu City, AZ, 864068593.
What is Raley'S Arizona Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Raley'S Arizona Llc is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.
On what date did Raley'S Arizona Llc receive its 1083729008 assignment from the Centers for Medicare & Medicaid Services?
The Raley'S Arizona Llc was assigned its 1083729008 on 2006-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Raley'S Arizona Llc's information last updated?
The Raley'S Arizona Llc's information was last updated on 2022-04-29.
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