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 3301 Southern Blvd Se , Rio Rancho NM 87124-2085. 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) 891-0895, or through Pendergraft, Flint via phone (916) 373-6146.

Contact Information

Primary practice address
3301 Southern Blvd Se Rio Rancho NM 87124-2085
Phone: (505) 891-0895
Fax: (505) 892-3238
Website:
Map and Directions
Authorized official contact:
Name: Pendergraft, Flint PHARMD
Phone: (916) 373-6146

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH00002360 New Mexico
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1932219607
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 1932219607 NPPES
Other 3210565 OTHER ID NUMBER-COMMERCIAL NUMBER

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