Organization
GENUARDI'S FAMILY MARKETS LP (GFM)
Active
Parent organization
SAFEWAY INC
Other names
GENUARDIS PHARMACY #1007
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAFEWAY INC
Authorized official
MICHELLE RIVERS CPHT (MANG CARE PLAN SPEC)
(623) 869-3524
Entity
Organization
Contact information
Practice address
310 S HENDERSON RD, KING OF PRUSSIA, PA 19406-2408
(610) 209-1031
(610) 290-1018
Mailing address
20427 N 27TH AVE # MS 4551, PHOENIX, AZ 85027-3241
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481710
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007518700027
—
PA
01
—
3988168
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
04/19/2007
Last updated
08/06/2010
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