Raley'S Arizona Llc in Phoenix - Pharmacy

Raley'S Arizona Llc - NPI 1194813790

Raley'S Arizona Llc is a Pharmacy in Phoenix, Arizona. Raley'S Arizona Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Raley'S Arizona Llc is 1194813790. The last update date is 2022-04-18.

Raley'S Arizona Llc's current location address is 3442 W Van Buren St, Phoenix, Arizona. You can contact this provider via phone number 6022788831 and fax number 6024840950. The mailing address for Raley'S Arizona Llc is 3442 W Van Buren St, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Raley'S Arizona Llc
Address 3442 W Van Buren St, Phoenix, Arizona
Phone Number 6022788831
Fax Number 6024840950
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Mckinley Mike
Telephone Number 4808955372

NPI Number Detail

NPI Number 1194813790
Provider Enumeration Date 2006-10-10
Last Updated Date 2022-04-18

Provider Mailing Address Detail

Address 3442 W Van Buren St
City Phoenix
State Arizona (AZ)
Post Code 850094708
Phone Number 6022788831
Fax Number 6024840950

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
864191 AZ --
328472 NCPDP PROVIDER IDENTIFICATION

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FAQs about Raley'S Arizona Llc

What is the Raley'S Arizona Llc's unique identification number?

The Raley'S Arizona Llc has been assigned the NPI (National Provider Identifier) Number 1194813790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Raley'S Arizona Llc is physically located?

The Raley'S Arizona Llc is situated at the following address: 3442 W Van Buren St, Phoenix, AZ 850094708.

What is the area of specialization for Raley'S Arizona Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Raley'S Arizona Llc is Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 333600000X.

On what date was the 1194813790 assigned to Raley'S Arizona Llc?

The Raley'S Arizona Llc was issued its 1194813790 on 2006-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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 2022-04-18.

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