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Contact Information

RALEYS
781 SOUTH HIGHWAY 49
JACKSON, CA95642
 Phone: 209-223-9670
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for RALEYS

NPI # 1285744946
LBN Legal business name RALEYS
Authorized official HELEN SINGMASTER - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 06/04/2015 - About 11 years ago
Identifiers
CA License # PHY53536
CA Medicaid 1285744946
Other 0579889 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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