Raleys 213

LBN: Raleys Inc
Raleys 213 is an health care organization with primary practice located at 692A Freeman Lane , Grass Valley CA 95949. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Raleys Inc can be contacted via phone (530) 272-2496, or through Pendergraft, Flint via phone (916) 373-6146.

Contact Information

Primary practice address
692A Freeman Lane Grass Valley CA 95949
Phone: (530) 272-2496
Fax: (530) 274-0632
Website:
Map and Directions
Authorized official contact:
Name: Pendergraft, Flint PHARMD
Phone: (916) 373-6146

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY34547 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1356451017
LBN Legal business name Raleys Inc
DBA Doing business as Raleys 213
Authorized official Pendergraft, Flint PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1356451017 NPPES
California MEDICAID PHA345470
California Other 0592344

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