Organization
RALEY'S ARIZONA LLC
Active
Organization
RALEY'S ARIZONA LLC
Active
Other names
Bashas United Drug 120, BASHAS
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MCKINLEY (DIRECTOR OF PHARMACY)
(480) 895-5372
Entity
Organization
Contact information
Practice address
7586 W THUNDERBIRD RD, PEORIA, AZ 85381-6077
(623) 334-2081
(623) 334-2083
Mailing address
7586 W THUNDERBIRD RD, PEORIA, AZ 85381-6077
(623) 334-2081
(623) 334-2083
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Y003645
AZ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327165
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
722597
—
AZ
Enumeration date
10/10/2006
Last updated
04/29/2022
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