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Nai Saturn Eastern LLC

Pharmacy, Community/Retail Pharmacy in Columbia, MD. Organization (NPI-2).

NPI number1962431981
StatusActive
Last updated in NPPESNov 1, 2018

Details

NPI
1962431981
Entity type
Organization (NPI-2)
Legal business name
Nai Saturn Eastern LLC
Organization subpart
No
Enumeration date
Jul 2, 2006
Last updated
Nov 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyP06607MDYes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Safeway Pharmacy #1553 (Doing Business As)

Practice location

5485 Harpers Farm Rd
Columbia, MD 21044-1106

Phone 410-740-3332 · Fax 410-740-4369

Mailing address

250 E Parkcenter Blvd
Mailstop Sec2-B
Boise, ID 83706-3940

Authorized official

Tiffany Eliopulos
Assistant Manager, Enrollments
2083953906

Is something wrong?

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