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Organization
SAFEWAY INC
Active
Organization
SAFEWAY INC
Active
Parent organization
SAFEWAY INC
Other names
GENUARDIS Pharmacy #0049
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAFEWAY INC
Authorized official
MICHELLE A RIVERS CPHT (MANAGED CARE ANALYST)
(623) 869-3524
Entity
Organization
Contact information
Practice address
1632 N KINGS HWY, CHERRY HILL, NJ 08034-2302
(856) 470-1213
(856) 470-1205
Mailing address
PO BOX 60000 FILE 74150, SAN FRANSISCO, CA 94160-0001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00623500
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
07/02/2006
Last updated
08/25/2010
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