Organization · Type 2 NPI

Raley's Arizona LLC

Community/Retail Pharmacy · Lake Havasu City, AZ

NPI number 1083729008 Active

Practice location

3269 Maricopa Ave, Ste 120
Lake Havasu City, AZ 86406-8593

Call (928) 854-9551 Map

Fax (928) 854-9553

Mailing address

PO Box 488, Dept 3
Chandler, AZ 85244-0488

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	Y003678 (AZ)
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: 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 …

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NPI record

NPI: 1083729008
Entity type: Organization (Type 2)
Issued: Aug 20, 2006
Last updated: Apr 29, 2022
Status: Active

Other names

<unavail>
Bashas United Drug · doing business as
Bashas United Drug 116 · doing business as

Authorized official

Mike McKinley
Director of Pharmacy
(480) 895-5372

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083729008

Raley's Arizona LLC's National Provider Identifier is 1083729008, issued on Aug 20, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Apr 29, 2022.