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 #1005
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
1925 NORRISTOWN RD, MAPLE GLEN, PA 19002-2921
(215) 643-2880
(215) 643-7544
Mailing address
20427 N 27TH AVE, MS 4551, PHOENIX, AZ 85027-3241
(623) 869-3602
(623) 869-1924
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007518700028
—
PA
01
—
3991800
NCPDP
PA
Enumeration date
02/02/2009
Last updated
10/23/2012
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