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Raleys
Compounding Pharmacy in Modesto, California
NPI 1952411613

Raleys is a Compounding Pharmacy based in West Sacramento, CA and is specialized in Compounding Pharmacy. Raleys practices in Modesto, CA. The NPI Number for Raleys is 1952411613 and holds a License No. PHY53502 (California).

The current practice location address for Raleys is 3430 Tully Rd., Modesto, CA and can be reached out via phone at 209-527-4600. You can also correspond with Raleys through the mailing address at 500 WEST CAPITOL AVE., WEST SACRAMENTO, CA - 95605-2696 (mailing address contact number: 916-373-6394).

Location: 3430 Tully Rd., Modesto, CA, 95605-2696
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952411613
Provider Name
Raleys
Credential
Provider Entity Type
Organization
Address
3430 Tully Rd., Modesto, CA, 95605-2696
Phone Number
209-527-4600
Fax Number
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0552960 01 NCPDP
1952411613 05 CA
institution
Provider Business Practice Location Address Details
Address
3430 Tully Rd.
City
Modesto
State
California
Zip
95350-0840
Phone Number
209-527-4600
Fax Number
person
Provider Business Mailing Address Details
Address
500 West Capitol Ave.
City
West Sacramento
State
California
Zip
95605-2696
Phone Number
916-373-6394
Fax Number
916-372-6226
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
PHY53502 (California)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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