Organization
RALEY'S ARIZONA LLC
Active
Other names
Food City United Drug 060
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MCKINLEY (DIRECTOR OF PHARMACY)
(480) 895-5372
Entity
Organization
Contact information
Practice address
450 N GRAND COURT PLZ, NOGALES, AZ 85621-2748
(520) 287-3984
Mailing address
PO BOX 488, CHANDLER, AZ 85244-0488
(480) 895-5372
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
4444
AZ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0354427
NCPDP
AZ
05
—
110648
—
AZ
Enumeration date
07/19/2006
Last updated
04/29/2022
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