# NAI SATURN EASTERN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Safeway Pharmacy \#1276
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306882188
- **Authorized official:** TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
- **Authorized official phone:** (208) 395-3906

## Contact information

- **Practice address:** 6500 PINEY BRANCH RD NW, WASHINGTON, DC 20012-2900
- **Practice address phone:** (202) 723-5612
- **Practice address fax:** (202) 722-4113
- **Mailing address:** 250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
- **Mailing address phone:** (847) 916-4463
- **Mailing address fax:** (847) 916-4736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RX0000072 | DC | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 09/27/2018