Organization
GENUARDI'S FAMILY MARKETS LP GFM
Active
Parent organization
SAFEWAY INC
Other names
GENUARDI'S Pharmacy #0050
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAFEWAY INC
Authorized official
MICHELLE A RIVERS CPHT MBA (MANAGED CARE ANALYST)
(623) 869-3524
Entity
Organization
Contact information
Practice address
1120 WHITE HORSE RD, VOORHEES, NJ 08043-2103
(856) 309-5826
(856) 309-1425
Mailing address
20427 N 27TH AVE # MSC4551, PHOENIX, AZ 85027-3241
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00603300
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3143601
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8641803
—
NJ
Enumeration date
07/02/2006
Last updated
08/05/2009
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