Nai Saturn Eastern LLC
Pharmacy, Community/Retail Pharmacy in Rockville, MD. Organization (NPI-2).
NPI number1790396018
StatusActive
Last updated in NPPESAug 11, 2020
Details
- NPI
- 1790396018
- Entity type
- Organization (NPI-2)
- Legal business name
- Nai Saturn Eastern LLC
- Organization subpart
- No
- Enumeration date
- Aug 11, 2020
- Certification date
- Aug 11, 2020
- Last updated
- Aug 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Safeway Pharmacy #1956 (Doing Business As)
Practice location
14939 Shady Grove RdRockville, MD 20850-7719
Phone 301-944-1585
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Authorized official
Kathy Giannakopoulos
Enrollments Manager
2083953954
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