Organization
RALEY'S ARIZONA LLC
Active
Organization
RALEY'S ARIZONA LLC
Active
Other names
Bashas' United Drugs; Food City United Drugs; AJ's United Drugs, Bashas United Drug 055
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MCKINLEY (DIRECTOR OF PHARMACY)
(480) 895-5372
Entity
Organization
Contact information
Practice address
275 N TEGNER ST, WICKENBURG, AZ 85390-2415
(928) 684-2726
(928) 684-0949
Mailing address
PO BOX 488, CHANDLER, AZ 85244-0488
(480) 895-5370
(480) 895-5371
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
YO2734
AZ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0321618
NCPDP
AZ
05
—
328220
—
AZ
Enumeration date
10/10/2006
Last updated
04/29/2022
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