# SAFEWAY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAFEWAY INC
- **Other names:** GENUARDIS Pharmacy \#0049
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245269273
- **Legal business name:** SAFEWAY INC
- **Authorized official:** MICHELLE A RIVERS CPHT (MANAGED CARE ANALYST)
- **Authorized official phone:** (623) 869-3524

## Contact information

- **Practice address:** 1632 N KINGS HWY, CHERRY HILL, NJ 08034-2302
- **Practice address phone:** (856) 470-1213
- **Practice address fax:** (856) 470-1205
- **Mailing address:** PO BOX 60000 FILE 74150, SAN FRANSISCO, CA 94160-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 28RS00623500 | NJ | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 08/25/2010