Organization
NAI SATURN EASTERN LLC
Active
Other names
Safeway Pharmacy #4817
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
116 UNIVERSITY BLVD, SILVER SPRING, MD 20901
(301) 593-8092
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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