Organization
RALEY'S ARIZONA LLC
Active
Other names
Bashas' United Drug 100, BASHAS
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MCKINLEY (DIRECTOR OF PHARMACY)
(480) 895-5372
Entity
Organization
Contact information
Practice address
3275 N SWAN RD, TUCSON, AZ 85712-1228
(520) 323-5821
(520) 323-5823
Mailing address
3275 N SWAN RD, TUCSON, AZ 85712-1228
(520) 323-5821
(520) 323-5823
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Y003676
AZ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327189
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
724577
—
AZ
Enumeration date
08/20/2006
Last updated
04/15/2022
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