Organization
RALPHS GROCERY COMPANY
Active
Other names
FOOD4LESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TRUSTER (PHARMACY ECOMMERCE MANAGER)
(513) 387-7113
Entity
Organization
Contact information
Practice address
2255 N LAS VEGAS BLVD, N LAS VEGAS, NV 89030-5840
(702) 642-1111
(702) 642-4959
Mailing address
1100 W ARTESIA BLVD, COMPTON, CA 90220-5108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY01592
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002802580
—
NV
01
—
2904399
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/01/2006
Last updated
02/04/2009
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