Organization
RALEY'S ARIZONA LLC
Active
Other names
BASHAS, Bashas' United Drug 007
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MCKINLEY (DIRECTOR OF PHARMACY)
(480) 895-5372
Entity
Organization
Contact information
Practice address
8035 E INDIAN SCHOOL RD, SCOTTSDALE, AZ 85251-2617
(480) 663-1043
(480) 663-1044
Mailing address
8035 E INDIAN SCHOOL RD, SCOTTSDALE, AZ 85251-2617
(480) 663-1043
(480) 663-1044
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Y004016
AZ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0352194
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
880163
—
AZ
Enumeration date
10/10/2006
Last updated
04/20/2022
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