Organization
NAI SATURN EASTERN LLC
Active
Organization
NAI SATURN EASTERN LLC
Active
Other names
Safeway Pharmacy #1847
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNY YOST (ASST MGR, THIRD PARTY IMPLEMENTATIO)
(208) 395-3920
Entity
Organization
Contact information
Practice address
5980 KINGSTOWNE TOWNE CTR, ALEXANDRIA, VA 22315-5876
(703) 921-3127
(703) 921-3131
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
(847) 916-4463
(847) 916-4736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201003780
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150027
PK
—
05
—
8513767
—
VA
Enumeration date
07/02/2006
Last updated
01/08/2016
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