Raley'S Arizona Llc in Wickenburg - Pharmacy
Raley'S Arizona Llc - NPI 1366530040
Raley'S Arizona Llc is a Pharmacy in Wickenburg, Arizona. Raley'S Arizona Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Raley'S Arizona Llc is 1366530040. The last update date is 2022-04-29.
Raley'S Arizona Llc's current location address is 275 N Tegner St, Wickenburg, Arizona. You can contact this provider via phone number 9286842726 and fax number 9286840949. The mailing address for Raley'S Arizona Llc is 275 N Tegner St, Wickenburg, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Raley'S Arizona Llc |
|---|---|
| Address | 275 N Tegner St, Wickenburg, Arizona |
| Phone Number | 9286842726 |
| Fax Number | 9286840949 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Mckinley Mike |
| Telephone Number | 4808955372 |
NPI Number Detail
| NPI Number | 1366530040 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2022-04-29 |
Provider Mailing Address Detail
| Address | 275 N Tegner St |
|---|---|
| City | Wickenburg |
| State | Arizona (AZ) |
| Post Code | 853902415 |
| Phone Number | 9286842726 |
| Fax Number | 9286840949 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | YO2734 |
|
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 |
|---|---|---|---|
| 328220 | AZ | -- | |
| 321618 | AZ | NCPDP |
Post Comment/ Review Below
What is the Raley'S Arizona Llc's 1366530040?
The Raley'S Arizona Llc's NPI (National Provider Identifier) Number is 1366530040. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
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: 275 N Tegner St, Wickenburg, AZ, 853902415.
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 the Centers for Medicare & Medicaid Services originally issue the 1366530040 to Raley'S Arizona Llc?
The Centers for Medicare & Medicaid Services originally issued the 1366530040 to Raley'S Arizona Llc on 2006-10-10.
As of what date were the Raley'S Arizona Llc's details last updated?
The information pertaining to the Raley'S Arizona Llc, including its address, specialty, and other details, was most recently updated on 2022-04-29.
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