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
1	3336C0003X	Community/Retail Pharmacy	PHY53495	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0581327	OTHER		NCPDP
2	MEDICAID 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

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Directions to “RALEYS ” Practice Location

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