Organization
RALEYS OF NEW MEXICO INC
Active
Organization
RALEYS OF NEW MEXICO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLINT PENDERGRAFT PHARMD (VP PHARMACY AND HLI)
(916) 373-6146
Entity
Organization
Contact information
Practice address
3301 SOUTHERN BLVD SE, RIO RANCHO, NM 87124-2085
(505) 891-0895
(505) 892-3238
Mailing address
3301 SOUTHERN BLVD SE, RIO RANCHO, NM 87124-2085
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH00002360
NM
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3210565
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/30/2006
Last updated
09/11/2025
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