Organization
RALEY'S ARIZONA LLC
Active
Other names
AJ's United Drug 063
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MCKINLEY (DIRECTOR OF PHARMACY)
(480) 895-5372
Entity
Organization
Contact information
Practice address
7141 E LINCOLN DR, SCOTTSDALE, AZ 85253-4417
(480) 998-2378
(480) 998-1428
Mailing address
7141 E LINCOLN DR, SCOTTSDALE, AZ 85253-4417
(480) 998-2378
(480) 998-1428
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Y003517
AZ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327824
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
807547
—
AZ
Enumeration date
08/20/2006
Last updated
04/20/2022
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