Organization
SAFEWAY PHARMACY LLC
Active
Other names
Safeway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HILAL NAHLE (OWNER)
(313) 632-9920
Entity
Organization
Contact information
Practice address
25222 GREENFIELD RD, OAK PARK, MI 48237-4032
(313) 632-9920
(313) 632-9920
Mailing address
5908 WILLIAMSON ST, DEARBORN, MI 48126-2171
(313) 632-9920
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301011403
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176774
PK
—
Enumeration date
06/04/2018
Last updated
06/04/2018
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