Raley'S Arizona Llc is a Pharmacy in Mesa, Arizona. Raley'S Arizona Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Raley'S Arizona Llc is 1639281629. The last update date is 2022-04-18.
Raley'S Arizona Llc's current location address is 9925 E Baseline Rd, Mesa, Arizona. You can contact this provider via phone number 4803572634 and fax number 4803572423. The mailing address for Raley'S Arizona Llc is 9925 E Baseline Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Raley'S Arizona Llc |
|---|---|
| Address | 9925 E Baseline Rd, Mesa, Arizona |
| Phone Number | 4803572634 |
| Fax Number | 4803572423 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Mckinley Mike |
| Telephone Number | 4808955372 |
NPI Number Detail
| NPI Number | 1639281629 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2022-04-18 |
Provider Mailing Address Detail
| Address | 9925 E Baseline Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852098325 |
| Phone Number | 4803572634 |
| Fax Number | 4803572423 |
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 352396 | NCPDP PROVIDER IDENTIFICATION | ||
| 894750 | AZ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Raley'S Arizona Llc?
The Raley'S Arizona Llc has been issued the NPI (National Provider Identifier) 1639281629 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Raley'S Arizona Llc?
The Raley'S Arizona Llc is physically situated at 9925 E Baseline Rd, in the city of Mesa, state of AZ, with the postal code 852098325.
What is the Raley'S Arizona Llc's specialty and taxonomy code?
The Raley'S Arizona Llc's specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639281629 to Raley'S Arizona Llc?
The Centers for Medicare & Medicaid Services originally issued the 1639281629 to Raley'S Arizona Llc on 2006-08-31.
As of what date were the details related to Raley'S Arizona Llc most recently updated or revised?
The information pertaining to Raley'S Arizona Llc, including its address, specialty, and other relevant details, was last updated or revised on 2022-04-18.
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