| NPI | 1598908790 |
|---|---|
| Doing Business As | SAFEWAY PHARMACY #4504 |
| 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 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2010-06-16 |