Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #0271
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A RIVERS CPHT MBA (MANAGED CARE PLAN SPECIALIST)
(623) 869-3524
Entity
Organization
Contact information
Practice address
514C RHODE ISLAND AVE NE, WASHINGTON, DC 20002
(202) 636-8643
(202) 636-8013
Mailing address
20427 N 27TH AVE # MSC4551, PHOENIX, AZ 85027-3241
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
RX8800101
DC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033587800
—
DC
01
—
0902696
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/27/2006
Last updated
11/10/2008
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