Organization
RALEYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN S SINGMASTER (SECRETARY)
(916) 373-6394
Entity
Organization
Contact information
Practice address
3020 FLOYD AVE, MODESTO, CA 95355-9604
(209) 551-6030
Mailing address
500 WEST CAPITOL AVE., WEST SACRAMENTO, CA 95605-2696
(916) 373-6394
(916) 372-6226
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY53520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396944872
—
CA
01
—
5627712
NCPDP
—
Enumeration date
07/13/2007
Last updated
06/08/2015
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