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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 PharmacyPHY53495CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10581327OTHERNCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811007578
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 : 1842 FORT JONES STREET
Second Line :
City : YREKA
State : CA
Zip : 96097-9531
Country : US
Telephone Number : 530-842-4182
Fax Number : 530-842-6817
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 : 06/03/2015

Similar Medicare Providers

1093126625 — DR. LORI SHEREE CRUM PHARM.D.
Practice Location Address:
1842 FORT JONES RD
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1316457567 — JANET A. GRASSMAN R.PH.
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1528622412 — MELISSA DUKE
Practice Location Address:
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1033051743 — ROSE SMITH PROFESSIONAL CLINICAL COUNSELOR PROFESSIONAL
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208 4TH ST
YREKA, CA
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Practice Fax:
1316880776 — MALLORY BRYAN
Practice Location Address:
2060 CAMPUS DR
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Practice Fax:
1811990591 — TERRY WILLIAMS OD
Practice Location Address:
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Directions to “RALEYS ” Practice Location

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