Organization
RALEYS OF NEW MEXICO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLINT PENDERGRAFT PHARMD (VP PHARMACY AND HLI)
(916) 373-6146
Entity
Organization
Contact information
Practice address
13150 CENTRAL AVE SE, ALBUQUERQUE, NM 87123-3032
(505) 292-2293
(505) 292-2372
Mailing address
13150 CENTRAL AVE SE, ALBUQUERQUE, NM 87123-3032
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH00002018
NM
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3210046
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/30/2006
Last updated
09/11/2025
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