Organization
RANDALLS FOOD & DRUGS LP
Active
Parent organization
SAFEWAY INC
Other names
RANDALLS PHARMACY #2473
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAFEWAY INC
Authorized official
SUNNY YOST CPHT (MANAGED CARE PLAN SPECIALIST)
(208) 395-3920
Entity
Organization
Contact information
Practice address
6800 BERKMAN DR, AUSTIN, TX 78723-1221
(512) 467-8266
(512) 467-8228
Mailing address
20427 N 27TH AVE # MSC4551, PHOENIX, AZ 85027-3241
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4590546
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
463629
—
TX
Enumeration date
07/02/2006
Last updated
05/26/2017
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