Organization
GENUARDI'S FAMILY MARKETS LP (GFM)
Active
Parent organization
SAFEWAY INC
Other names
GENUARDI'S PHARMACY #2662
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
200 W RIDGE PIKE STE 110, CONSHOHOCKEN, PA 19428-3702
(610) 276-1010
(610) 276-1004
Mailing address
20427 N 27TH AVE # MSC4551, PHOENIX, AZ 85027-3241
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP481510
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007518700024
—
PA
01
—
3984879
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/02/2006
Last updated
08/05/2009
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