Organization
RALEYS INC
Active
Other names
RALEYS 213
Organization subpart
No
Provider details
NPI number
Authorized official
FLINT PENDERGRAFT PHARMD (VP PHARMACY AND GM)
(916) 373-6146
Entity
Organization
Contact information
Practice address
692A FREEMAN LANE, GRASS VALLEY, CA 95949
(530) 272-2496
(530) 274-0632
Mailing address
692A FREEMAN LANE, GRASS VALLEY, CA 95949
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY34547
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0592344
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA345470
—
CA
Enumeration date
08/30/2006
Last updated
09/11/2025
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