Organization
RANDALLS FOOD & DRUGS LP
Active
Organization
RANDALLS FOOD & DRUGS LP
Active
Parent organization
SAFEWAY INC
Other names
RANDALLS PHARMACY #1020
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAFEWAY INC
Authorized official
MICHELLE ANN RIVERS CPHT (MANAGED CARE PLAN SPECILAIST)
(623) 869-3524
Entity
Organization
Contact information
Practice address
7055 HIGHWAY 6 N, HOUSTON, TX 77095-2505
(281) 463-3701
(281) 856-3834
Mailing address
20427 N 27TH AVE # MSC4551, PHOENIX, AZ 85027-3241
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
22025
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4561608
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
463667
—
TX
Enumeration date
06/21/2006
Last updated
05/26/2017
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