Organization
RALPHS GROCERY COMPANY
Active
Organization
RALPHS GROCERY COMPANY
Active
Other names
RALPHS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MATT MINEER (CENTRAL OPERATIONS MANAGER)
(513) 387-7074
Entity
Organization
Contact information
Practice address
591 COUNTRY CLUB DR, SIMI VALLEY, CA 93065-7691
(805) 526-8555
(805) 526-9580
Mailing address
1100 W ARTESIA BLVD, COMPTON, CA 90220-5108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY45025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0557592
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA450250
—
CA
Enumeration date
07/13/2006
Last updated
09/20/2010
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