Food City

LBN: Raley'S Arizona Llc
Food City is an health care organization with primary practice located at 85 S Hwy 92 , Sierra Vista AZ 85635-3637. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Raley'S Arizona Llc can be contacted via phone (520) 439-6081, or through Mckinley, Mike via phone (480) 895-5372.

Contact Information

Primary practice address
85 S Hwy 92 Sierra Vista AZ 85635-3637
Fax: (520) 439-6083
Website:
Authorized official contact:
Name: Mckinley, Mike

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y003390 Arizona
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1184736167
LBN Legal business name Raley'S Arizona Llc
DBA Doing business as Food City
Authorized official Mckinley, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 15th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184736167 NPPES
Other 0326290 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 638182 NCPDP PROVIDER IDENTIFICATION NUMBER

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