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RALEYS NPI 1952411613


NPI Information

NPI: 1952411613
Provider Name: RALEYS
Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
3430 TULLY RD.
MODESTO, CA
ZIP 95350
Phone: (209) 527-4600
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RALEYS is a compounding pharmacy pharmacy in Modesto, CA. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. RALEYS NPI is 1952411613. The provider is registered as an organization entity type.

The provider's business location address is:

3430 TULLY RD.
MODESTO, CA
ZIP 95350-840
Phone: (209) 527-4600

The provider's authorized official is Helen S Singmaster .
The authorized official title is Secretary and has the following contact phone number (916) 373-6394.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 6/3/2015.


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
13336C0004XPharmacyCompounding PharmacyPHY53502CALIFORNIAYes

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
10552960OTHERNCPDP
20216380003MEDICARE NSC
3P00288273MEDICARE PIN
41952411613MEDICAIDCALIFORNIA
5FLU11450FMEDICARE PIN

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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