Raleys Of New Mexico Inc

LBN: Raleys Of New Mexico Inc
Raleys Of New Mexico Inc is an health care organization with primary practice located at 7800 Enchanted Hills Blvd Ne , Rio Rancho NM 87144-8623. 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 Of New Mexico Inc can be contacted via phone (505) 771-8411, or through Pendergraft, Flint via phone (916) 373-6146.

Contact Information

Primary practice address
7800 Enchanted Hills Blvd Ne Rio Rancho NM 87144-8623
Fax: (505) 771-9255
Website:
Authorized official contact:
Name: Pendergraft, Flint PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH00002389 New Mexico
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1720198492
LBN Legal business name Raleys Of New Mexico Inc
DBA Doing business as
Authorized official Pendergraft, Flint PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1720198492 NPPES
Other 3210591 OTHER ID NUMBER-COMMERCIAL NUMBER

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