Raley'S Arizona Llc in Peoria - Community/retail Pharmacy
Raley'S Arizona Llc - NPI 1891800819
Raley'S Arizona Llc is a Community/retail Pharmacy in Peoria, 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 1891800819. The last update date is 2022-04-18.
Raley'S Arizona Llc's current location address is 20351 N Lake Pleasant Rd, Peoria, Arizona. You can contact this provider via phone number 6235372321 and fax number 6235372323. The mailing address for Raley'S Arizona Llc is 20351 N Lake Pleasant Rd, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Raley'S Arizona Llc |
|---|---|
| Address | 20351 N Lake Pleasant Rd, Peoria, Arizona |
| Phone Number | 6235372321 |
| Fax Number | 6235372323 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Mckinley Mike |
| Telephone Number | 4808955372 |
NPI Number Detail
| NPI Number | 1891800819 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2022-04-18 |
Provider Mailing Address Detail
| Address | 20351 N Lake Pleasant Rd |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853829703 |
| Phone Number | 6235372321 |
| Fax Number | 6235372323 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | Y003677 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 327622 | NCPDP PROVIDER IDENTIFICATION | ||
| 774449 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Raley'S Arizona Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Raley'S Arizona Llc has been assigned the NPI (National Provider Identifier) 1891800819. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Raley'S Arizona Llc?
The Raley'S Arizona Llc is physically situated at 20351 N Lake Pleasant Rd, in the city of Peoria, state of AZ, with the postal code 853829703.
What is Raley'S Arizona Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Raley'S Arizona Llc is Community/retail Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0003X.
On what date was the 1891800819 assigned to Raley'S Arizona Llc?
The Raley'S Arizona Llc was issued its 1891800819 on 2006-08-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Raley'S Arizona Llc most recently updated or revised?
The details related to Raley'S Arizona Llc, including its address, specialty, and other relevant information, were last updated or revised on 2022-04-18.
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