Organization
RALPHS GROCERY COMPANY
Active
Other names
RALPHS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TRUSTER (PHARMACY ECOMMERCE MANAGER)
(513) 387-7113
Entity
Organization
Contact information
Practice address
300 N 2ND ST, EL CAJON, CA 92021-6444
(619) 579-8022
(619) 579-8288
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
PHY45177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0558873
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA451770
—
CA
Enumeration date
07/13/2006
Last updated
07/26/2010
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