Organization
GENUARDI'S FAMILY MARKETS LP GFM
Active
Parent organization
SAFEWAY INC
Other names
GENUARDI'S PHARMACY #4014
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAFEWAY INC
Authorized official
DELLA TITUS (MANAGED CARE PLAN SPECIALIST)
(623) 869-3602
Entity
Organization
Contact information
Practice address
737 HUNTINGDON PIKE, HUNTINGDON VALLEY, PA 19006-8362
(215) 379-3257
(215) 379-3275
Mailing address
20427 N 27TH AVE, MAIL STOP 4551, PHOENIX, AZ 85027-3241
(623) 869-3602
(623) 869-1924
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP481058
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01859169
—
PA
01
—
3979309
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/21/2006
Last updated
10/23/2012
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