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NPI Code Detail

MEDICARE: RALEYS

MEDICARE: RALEYS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail PharmacyPHY53525CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20505404OTHERNCPDP

General Provider Information

NPI Number : 1528178274
Entity Type Code : Organization
Provider Name (Legal Business Name) : RALEYS
Provider Business Mailing Address
First Line : 500 WEST CAPITOL AVE
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95605-2696
Country : US
Telephone Number : 916-373-6394
Fax Number : 916-372-6226
Provider Business Practice Location Address
First Line : 4850 FREEPORT BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95822-2102
Country : US
Telephone Number : 916-452-3811
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : HELEN S SINGMASTER
Credential :
Telephone Number : 916-373-6394
Provider Enumeration Date : 08/30/2006
Last Update Date : 06/04/2015

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Directions to “RALEYS ” Practice Location

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