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RALEY'S ARIZONA LLC NPI 1811939309


NPI Information

NPI: 1811939309
Provider Name: RALEY'S ARIZONA LLC

Doing Business As: BASHAS', FOOD CITY, AJ'S UNITED DRUGS

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1831 KIOWA AVE STE 100
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 855-2494
Get Directions

RALEY'S ARIZONA LLC is a community/retail pharmacy pharmacy in Lake Havasu City, AZ. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. RALEY'S ARIZONA LLC NPI is 1811939309. The provider is registered as an organization entity type.
The provider Is Doing Business As Bashas', Food City, Aj's United Drugs.

The provider's business location address is:

1831 KIOWA AVE STE 100
LAKE HAVASU CITY, AZ
ZIP 86403-461
Phone: (928) 855-2494
Fax: (928) 855-4794

The provider's authorized official is Mike Mckinley .
The authorized official title is Director Of Pharmacy and has the following contact phone number (480) 895-5372.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 4/29/2022.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy4311ARIZONANo
33336C0003XPharmacyCommunity/Retail PharmacyYes

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
10354275OTHERARIZONANCPDP
2024626MEDICAIDARIZONA

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: 11/14/2023

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