Organization
GENUARDI'S FAMILY MARKETS LP (GFM)
Active
Organization
GENUARDI'S FAMILY MARKETS LP (GFM)
Active
Parent organization
SAFEWAY INC
Other names
GENUARDI'S PHARMACY #3023
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAFEWAY INC
Authorized official
MICHELLE ANN RIVERS CPHT (MANAGED CARE PLAN SPECIALIST)
(623) 869-3524
Entity
Organization
Contact information
Practice address
475 GLEN EAGLE SQ, GLEN MILLS, PA 19342-1285
(610) 558-0867
(610) 558-4693
Mailing address
20427 N 27TH AVE # MSC4551, PHOENIX, AZ 85027-3241
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP481044
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01859300
—
PA
01
—
3978977
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/21/2006
Last updated
08/05/2009
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