Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
RALEY'S OF NEW MEXICO, INC.
Active
Organization
RALEY'S OF NEW MEXICO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI GLUNZ (PHARMACY ASSISTANT/TECHNICIAN)
(916) 376-6983
Entity
Organization
Contact information
Practice address
1100 PASEO DEL PUEBLO SUR, TOAS, NM 87571
(505) 758-1203
Mailing address
500 W CAPITOL AVE, WEST SACRAMENTO, CA 95605-2624
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH00002361
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00002361
PHARMACY LICENSE
NM
Enumeration date
09/01/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers