<Unavail>

LBN: Raley'S Arizona Llc
<Unavail> is an health care organization with primary practice located at 16605 E Palisades Blvd , Fountain Hills AZ 85268-3716. 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) 895-5372, or through Mckinley, Mike via phone (480) 895-5372.

Contact Information

Primary practice address
16605 E Palisades Blvd Fountain Hills AZ 85268-3716
Phone: (480) 895-5372
Fax: (480) 895-5371
Website:
Map and Directions
Authorized official contact:
Name: Mckinley, Mike
Phone: (480) 895-5372

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X Y005072 Arizona
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1639315583
LBN Legal business name Raley'S Arizona Llc
DBA Doing business as <Unavail>
Authorized official Mckinley, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2008
Last updated Apr 20th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639315583 NPPES
Other 0355974 NCPDP

Popular Providers