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Organization

GENUARDI'S FAMILY MARKETS LP

Active
Parent organization
SAFEWAY INC
Other names
GENUARDI'S PHARMACY #0651
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAFEWAY INC
Authorized official
MICHELLE A RIVERS CPHT (MANAGED CARE PLAN SPECIALIST)
(623) 869-3524
Entity
Organization

Contact information

Practice address
389 EASTON RD, WARRINGTON, PA 18976-2421
(215) 491-6310
(215) 491-6314
Mailing address
20427 N 27TH AVE # MSC4551, PHOENIX, AZ 85027-3241

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP481049
PA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01868032
PA
01
3979311
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
06/21/2006
Last updated
08/05/2009
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  • EDI platform