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Organization
RALEYS
Active
Organization
RALEYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN S SINGMASTER (SECRETARY)
(916) 373-6394
Entity
Organization
Contact information
Practice address
4255 E MORADA LN, STOCKTON, CA 95212-1600
(209) 956-9444
Mailing address
500 WEST CAPITOL AVE., WEST SACRAMENTO, CA 95605-2696
(916) 373-6394
(916) 372-6226
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHY53500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891853826
—
CA
01
—
5624639
NCPDP
—
Enumeration date
12/04/2006
Last updated
06/03/2015
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