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 #3012
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAFEWAY INC
Authorized official
DELLA TITUS (MANAGED CARE PLAN SPECIALIST)
(623) 869-3602
Entity
Organization
Contact information
Practice address
1844 BETHLEHEM PIKE, FLOURTOWN, PA 19031-1504
(215) 948-8016
(215) 948-8003
Mailing address
20427 N 27TH AVE, MAIL STOP 4551, PHOENIX, AZ 85027-3241
(623) 869-3602
(623) 869-1924
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP481514
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016820210005
—
PA
01
—
3985201
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/02/2006
Last updated
10/22/2012
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