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RALEYS INC NPI 1356451017


NPI Information

NPI: 1356451017
Provider Name: RALEYS INC

Doing Business As: RALEYS 213

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
692A FREEMAN LANE
GRASS VALLEY, CA
ZIP 95949
Phone: (530) 272-2496
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RALEYS INC is a pharmacy in Grass Valley, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. RALEYS INC NPI is 1356451017. The provider is registered as an organization entity type.
The provider Is Doing Business As Raleys 213.

The provider's business location address is:

692A FREEMAN LANE
GRASS VALLEY, CA
ZIP 95949
Phone: (530) 272-2496
Fax: (530) 274-0632

The provider's authorized official is Flint Pendergraft .
The authorized official title is Vp Pharmacy And Gm and has the following contact phone number (916) 373-6146.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyPHY34547CALIFORNIAYes
23336C0003XPharmacyCommunity/Retail PharmacyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10592344OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2PHA345470MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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