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Organization

RALEY'S ARIZONA LLC

Active
Other names
FOOD CITY, Food City United Drug 111
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE MCKINLEY (DIRECTOR OF PHARMACY)
(480) 895-5372
Entity
Organization

Contact information

Practice address
85 S HWY 92, SIERRA VISTA, AZ 85635-3637
(520) 439-6081
(520) 439-6083
Mailing address
85 S HWY 92, SIERRA VISTA, AZ 85635-3637
(520) 439-6081
(520) 439-6083

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Y003390
AZ
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0326290
NCPDP PROVIDER IDENTIFICATION NUMBER
05
638182
AZ
Enumeration date
08/31/2006
Last updated
04/15/2022
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