Raley'S Arizona Llc in Mesa - Community/retail Pharmacy
Raley'S Arizona Llc - NPI 1164537189
Raley'S Arizona Llc is a Community/retail Pharmacy in Mesa, Arizona. Raley'S Arizona Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Raley'S Arizona Llc is 1164537189. The last update date is 2022-04-18.
Raley'S Arizona Llc's current location address is 1133 N Ellsworth Rd, Mesa, Arizona. You can contact this provider via phone number 4809843431 and fax number 4809843689. The mailing address for Raley'S Arizona Llc is 1133 N Ellsworth Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Raley'S Arizona Llc |
|---|---|
| Address | 1133 N Ellsworth Rd, Mesa, Arizona |
| Phone Number | 4809843431 |
| Fax Number | 4809843689 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Mckinley Mike |
| Telephone Number | 4808955372 |
NPI Number Detail
| NPI Number | 1164537189 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2022-04-18 |
Provider Mailing Address Detail
| Address | 1133 N Ellsworth Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852075140 |
| Phone Number | 4809843431 |
| Fax Number | 4809843689 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | Y007130 |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1991871 | PK | ||
| 880684 | 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) 1164537189 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Raley'S Arizona Llc?
The Raley'S Arizona Llc is situated at 1133 N Ellsworth Rd, in the city of Mesa, state of AZ, with the zip code 852075140.
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 Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.
On what date did the Raley'S Arizona Llc receive its 1164537189 assignment from the Centers for Medicare & Medicaid Services?
The Raley'S Arizona Llc was assigned its 1164537189 by the Centers for Medicare & Medicaid Services on 2006-08-20.
As of what date was the information pertaining to Raley'S Arizona Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Raley'S Arizona Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-04-18.
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