Organization
RALEY'S ARIZONA LLC
Active
Other names
Bashas' United Drug 109, BASHAS
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MCKINLEY (DIRECTOR OF PHARMACY)
(480) 895-5372
Entity
Organization
Contact information
Practice address
21044 N JOHN WAYNE PKWY, MARICOPA, AZ 85139-2916
(520) 836-4401
(520) 836-4403
Mailing address
21044 N JOHN WAYNE PKWY, MARICOPA, AZ 85139-2916
(520) 836-4401
(520) 836-4403
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Y004018
AZ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0328408
NCPDP
—
05
—
859986
—
AZ
Enumeration date
08/20/2006
Last updated
04/15/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us