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Organization
SAFEWAY INC
Active
Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #2747
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
888 KAPAHULU AVE, HONOLULU, HI 96816-1497
(808) 733-2606
(808) 733-2616
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY-866
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019626
PK
—
05
—
614124
—
HI
Enumeration date
10/23/2007
Last updated
04/14/2020
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