Organization · Type 2 NPI

Raley's Arizona LLC

Community/Retail Pharmacy · Gold Canyon, AZ

NPI number 1366557381 Active

Practice location

5311 S Superstition Mountain Dr
Gold Canyon, AZ 85118-1918

Fax (480) 474-9328

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	Y003202 (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 …

Another provider at this address

Timothy Edward Hay, RPHPharmacist Gold Canyon, AZ NPI 1770172694

NPI record

NPI: 1366557381
Entity type: Organization (Type 2)
Issued: Aug 20, 2006
Last updated: Apr 18, 2022
Status: Active

Other names

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Bashas · doing business as
Bashas · doing business as
Bashas' United Drug 082 · 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 1366557381

Raley's Arizona LLC's National Provider Identifier is 1366557381, issued on Aug 20, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Gold Canyon, AZ. The record was last updated on Apr 18, 2022.