| NPI | 1528004132 |
|---|---|
| Doing Business As | SAFEWAY PHARMACY #2909 |
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN RIVERS Managed Care Plan Speciaist 623-869-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 0812) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2009-01-19 |