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Organization

RALEYS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HELEN S SINGMASTER (SECRETARY)
(916) 373-6394
Entity
Organization

Contact information

Practice address
4255 E MORADA LN, STOCKTON, CA 95212-1600
(209) 956-9444
Mailing address
500 WEST CAPITOL AVE., WEST SACRAMENTO, CA 95605-2696
(916) 373-6394
(916) 372-6226

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHY53500
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891853826
CA
01
5624639
NCPDP
Enumeration date
12/04/2006
Last updated
06/03/2015
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