NPI 1083806756
Raley's Arizona LLC
Practice location
- Address
- 15367 W Waddell Rd, Surprise, AZ 85379-5132
- Phone
- (480) 895-5370
- Fax
- (480) 895-5371
- Mailing address
- PO Box 488, Chandler, AZ 85244-0488
Authorised official
- Name
- Mike McKinley
- Title
- Director of Pharmacy
- Phone
- (480) 895-5372
Registered specialties (3)
Community/Retail Pharmacy
Primary
Pharmacy
Community/Retail Pharmacy
Registry record
- NPI
- 1083806756
- Entity type
- Organization
- NPI issued
- 15 Aug 2007
- Record last updated
- 18 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.