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	PH00643	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2903412	OTHER		NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851401525
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	:	916-373-6146
Fax Number	:

Provider Business Practice Location Address
First Line	:	1075 N HILLS BLVD STE 270
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89506-5705
Country	:	US
Telephone Number	:	775-677-8750
Fax Number	:	775-677-2263

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	:	07/31/2013

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Directions to “RALEYS ” Practice Location

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