Organization
SAFEWAY PHARMACY INC
Active
Other names
SAFEWAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAGNIA BALBUENA (PRESIDENT)
(917) 664-8531
Entity
Organization
Contact information
Practice address
493 E 138TH ST, BRONX, NY 10454-4046
(718) 401-8308
(718) 401-4585
Mailing address
493 E 138TH ST, BRONX, NY 10454-4046
(718) 401-8308
(718) 401-4585
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
025332
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02226891
—
NY
01
—
2064956
PK
—
Enumeration date
11/07/2006
Last updated
06/24/2016
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