Organization
NAI SATURN EASTERN LLC
Active
Other names
Safeway Pharmacy #4817
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNY YOST (ASST., MGR.)
(208) 348-2250
Entity
Organization
Contact information
Practice address
116 UNIVERSITY BLVD, SILVER SPRING, MD 20901-2440
(301) 593-8092
(301) 593-5063
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
(847) 916-4463
(847) 916-4736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06643
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141008300
—
MD
01
—
2149971
PK
—
Enumeration date
06/24/2006
Last updated
04/15/2026
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