Organization
SAFEWAY INC
Active
Other names
Randalls Food and Drug LP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE ANN RIVERS (MANAGED CARE PLAN SPECIALIST)
(623) 869-3524
Entity
Organization
Contact information
Practice address
20427 N 27TH AVE # MSC 4501, PHOENIX, AZ 85027-3241
(623) 869-3524
(623) 869-1232
Mailing address
20427 N 27TH AVE # MS 4501, PHOENIX, AZ 85027-3241
(623) 869-3524
(623) 869-1232
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
05/11/2007
Last updated
09/11/2025
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