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Organization

RALEY'S ARIZONA LLC

Active
Other names
Bashas' United Drug 051
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE MCKINLEY (DIRECTOR OF PHARMACY)
(480) 895-5372
Entity
Organization

Contact information

Practice address
1122 N. HIGLEY RD., MESA, AZ 85205
(480) 854-6783
(480) 854-6823
Mailing address
PO BOX 488, CHANDLER, AZ 85244-0488
(480) 895-5370
(480) 895-5371

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Y007129
AZ
333600000X
Pharmacy
YO3736
AZ
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0327836
NCPDP
AZ
05
756158
AZ
Enumeration date
10/10/2006
Last updated
04/20/2022
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