Organization
SAFEWAY INC
Active
Parent organization
AB ACQUISITION LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AB ACQUISITION LLC
Authorized official
DEMOND HAWKINS (MANAGER, MANAGED CARE REIMBURSEMENT)
(925) 467-2838
Entity
Organization
Contact information
Practice address
5918 STONERIDGE MALL RD, PLEASANTON, CA 94588-3229
(925) 467-2838
(925) 467-2802
Mailing address
5918 STONERIDGE MALL RD, PLEASANTON, CA 94588-3229
(925) 467-2838
(925) 467-2802
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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