Organization
SAFEWAY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG PONSNES PHARMD (PHARMACY MANAGER)
(775) 586-1088
Entity
Organization
Contact information
Practice address
212 ELKS POINT RD, ZEPHYR COVE, NV 89448-8001
(775) 586-1088
Mailing address
757 LIPIZZAN RD, DAYTON, NV 89403-6408
(435) 590-4459
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14673
NV
183500000X
Pharmacist
1540361701
UT
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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