NPI | 1326077397 |
---|---|
Doing Business As | SAFEWAY PHARMACY # 1955 |
Entity Type | Organization |
Authorized Contact | MICHELLE RIVERS Managed Care Plan Specialist 623-869-3524 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ Y03469) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2009-01-19 |