Bashas' United Drug 172

LBN: Raley'S Arizona Llc
Bashas' United Drug 172 is an health care organization with primary practice located at 99 S Higley Rd , Gilbert AZ 85296-1168. 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 (480) 926-5221, or through Mckinley, Mike via phone (480) 895-5372.

Contact Information

Primary practice address
99 S Higley Rd Gilbert AZ 85296-1168
Phone: (480) 926-5221
Fax: (480) 926-5223
Website:
Map and Directions
Authorized official contact:
Name: Mckinley, Mike
Phone: (480) 895-5372

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y004757 Arizona
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1619179983
LBN Legal business name Raley'S Arizona Llc
DBA Doing business as Bashas' United Drug 172
Authorized official Mckinley, Mike
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Apr 15th, 2022 - about 3 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 1619179983 NPPES
Arizona Other 0354744 NCPDP
Arizona MEDICAID 211736 NCPDP

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