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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 PharmacyPHY53529CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
205052535OTHERNCPDP

General Provider Information

NPI Number : 1447360193
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 :
Provider Business Practice Location Address
First Line : 3518 MARCONI AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-5302
Country : US
Telephone Number : 916-972-7198
Fax Number : 916-972-7199
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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Practice Location Address:
3518 MARCONI AVE
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Practice Fax:
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1689087157 — RONALD MENASCO
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1932512571 — DR. VITALY AVIGDOR RABINOVICCH RPH, PHARM. D.
Practice Location Address:
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Practice Fax:
1629478243 — MS. MICHELE JEAN GRANTHAM
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Practice Fax: 916-469-9874

Directions to “RALEYS ” Practice Location

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