Organization
RALEY'S ARIZONA LLC
Active
Other names
Bashas' United Drug 047
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MCKINLEY (DIRECTOR OF PHARMACY)
(480) 895-5372
Entity
Organization
Contact information
Practice address
16605 E PALISADES BLVD, FOUNTAIN HILLS, AZ 85268-3716
(480) 895-5372
(480) 895-5371
Mailing address
PO BOX 488, CHANDLER, AZ 85244-0488
(480) 895-5372
(480) 895-5371
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Y005072
AZ
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0355974
NCPDP
—
Enumeration date
12/24/2008
Last updated
04/20/2022
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