NPI | 1417705195 |
---|---|
Doing Business As | SAFEWAY PHARMACY #1474 |
Entity Type | Organization |
Authorized Contact | KEVIN MCNAMARA Authorized Person 603-354-4619 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2024-05-08 |
Last Update Date | 2024-07-24 |