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Organization

SAFEWAY INC

Active
Other names
SAFEWAY PHARMACY #2241
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE ANN RIVERS CPHT (MANAGED CARE PLAN SPECIALIST)
(623) 869-3524
Entity
Organization

Contact information

Practice address
8430 N FEDERAL BLVD, WESTMINSTER, CO 80030
(303) 428-7681
(303) 428-4735
Mailing address
20427 N 27TH AVE # MS 4501, PHOENIX, AZ 85027-3241

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
12710
CO
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03765377
CO
01
0608933
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/02/2006
Last updated
04/17/2009
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