| NPI | 1790714715 |
|---|---|
| Doing Business As | SAFEWAY PHARMACY #4114 |
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN RIVERS Managed Care Plan Specialist 623-869-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MD P01191) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2008-12-16 |