Bashas', Food City, Aj'S United Drugs
LBN: Raley'S Arizona Llc
Bashas', Food City, Aj'S United Drugs is an health care organization with primary practice located at 1831 Kiowa Ave Ste 100 , Lake Havasu City AZ 86403-2461. 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 (928) 855-2494, or through Mckinley, Mike via phone (480) 895-5372.
Contact Information
Primary practice address
1831 Kiowa Ave Ste 100
Lake Havasu City AZ 86403-2461
Phone: (928) 855-2494
Fax: (928) 855-4794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 4311 | Arizona |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1811939309 |
|---|---|
| LBN Legal business name | Raley'S Arizona Llc |
| DBA Doing business as | Bashas', Food City, Aj'S United Drugs |
| Authorized official | Mckinley, Mike |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Apr 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811939309 | NPPES |
| Arizona | MEDICAID | 024626 | |
| Arizona | Other | 0354275 |
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