Organization
GENUARDI'S FAMILY MARKETS LP (GFM)
Active
Parent organization
SAFEWAY INC
Other names
GENUARDIS PHARMACY #0633
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
710 ROUTE 73 S, MARLTON, NJ 08053-4164
(856) 489-6267
(856) 489-6391
Mailing address
20427 N 27TH AVE # MSC4551, PHOENIX, AZ 85027-3241
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00615800
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3144425
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
9107401
—
NJ
Enumeration date
07/02/2006
Last updated
08/05/2009
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