Provider Information for 1659396257
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RALPHS GROCERY COMPANY
Other Names:Doing Business As:RALPHS PHARMACYOrganization Subpart: NO
NPI: 1659396257
Last Updated: 2018-11-07
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Details
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NPI | 1659396257 | ||||||||||||||||
Enumeration Date | 2006-07-13 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: JESSIE WARMAN Title: MANAGER OF PHARMACY LICENSING Phone: 5137621019 | ||||||||||||||||
Mailing Address | PO BOX 842772 BOSTON, MA 02284-2772 United States Phone: 513-762-1019 | Fax:513-762-1092 | ||||||||||||||||
Primary Practice Address | 315 E ALESSANDRO BLVD RIVERSIDE, CA 92508-2463 United States Phone: 951-789-0928 | Fax:951-789-1614 | ||||||||||||||||
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