Organization · Type 2 NPI

Raley's Arizona LLC

Community/Retail Pharmacy · Mesa, AZ

NPI number 1164537189 Active

Practice location

1133 N Ellsworth Rd
Mesa, AZ 85207-5140

Fax (480) 984-3689

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Pharmacy 333600000XY007130 (AZ)
Community/Retail Pharmacy 3336C0003XY007130 (AZ)
Community/Retail Pharmacy Primary 3336C0003XNone 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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About NPI 1164537189

Raley's Arizona LLC's National Provider Identifier is 1164537189, issued on Aug 20, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Mesa, AZ. The record was last updated on Sep 23, 2026.