Organization
RALEY'S ARIZONA LLC
Active
Other names
BASHAS, Bashas' United Drug 52
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MCKINLEY (DIRECTOR OF PHARMACY)
(480) 895-5372
Entity
Organization
Contact information
Practice address
15310 N ORACLE RD, TUCSON, AZ 85739-9426
(520) 575-7301
(520) 575-7303
Mailing address
15310 N ORACLE RD, TUCSON, AZ 85739-9426
(520) 575-7301
(520) 575-7303
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Y004356
AZ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029355
—
AZ
01
—
0353362
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2006
Last updated
04/20/2022
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