Organization
NAI SATURN EASTERN LLC
Active
Other names
SAFEWAY PHARMACY #3274
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (MGR ENROLLMENTS)
(208) 395-3954
Entity
Organization
Contact information
Practice address
3702 EAST-WEST HIGHWAY, HYATTSVILLE, MD 20782-2004
(301) 955-1943
(301) 955-1944
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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