Raley Prescription Pharmacy

NPI #1700871217 in Catoosa, Oklahoma

Provider Information

NPI Number: 1700871217
Entity Type: Organization
Organization Name: Raley Prescription Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Sep 12, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 19320 E ADMIRAL PL
City: Catoosa
State: Oklahoma
ZIP Code: 74015-3207
Phone: (918) 266-2283

Authorized Official

Name: MR. BRUCE R. RALEY, D.P.H.
Title: PRESIDENT
Phone: (918) 266-2283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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