Bashas', Food City, Aj'S, Ike'S United Drugs
LBN: Raley'S Arizona Llc
Bashas', Food City, Aj'S, Ike'S United Drugs is an health care organization with primary practice located at 15367 W Waddell Rd , Surprise AZ 85379-5132. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Raley'S Arizona Llc can be contacted via phone (480) 895-5370, or through Mckinley, Mike via phone (480) 895-5372.
Contact Information
Primary practice address
15367 W Waddell Rd
Surprise AZ 85379-5132
Phone: (480) 895-5370
Fax: (480) 895-5371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y004761 | Arizona |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1083806756 |
|---|---|
| LBN Legal business name | Raley'S Arizona Llc |
| DBA Doing business as | Bashas', Food City, Aj'S, Ike'S United Drugs |
| Authorized official | Mckinley, Mike |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 15th, 2007 |
| Last updated | Apr 18th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083806756 | NPPES |
| Arizona | Other | 0354996 | NCPDP |
| Arizona | MEDICAID | 244075 | NCPDP |
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