Organization
RALEY'S ARIZONA LLC
Active
Other names
Food City United Drug 069
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MCKINLEY (DIRECTOR OF PHARMACY)
(480) 895-5372
Entity
Organization
Contact information
Practice address
3923 N FLOWING WELLS RD, TUCSON, AZ 85705-2451
(520) 887-4422
(520) 292-6152
Mailing address
3923 N FLOWING WELLS RD, TUCSON, AZ 85705-2451
(520) 887-4422
(520) 292-6152
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Y002629
AZ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188723
—
AZ
01
—
1989711
PK
—
Enumeration date
07/31/2006
Last updated
04/15/2022
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