# SAFEWAY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SAFEWAY PHARMACY \#2627
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912936964
- **Authorized official:** TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
- **Authorized official phone:** (208) 395-3906

## Contact information

- **Practice address:** 3250 LEIF ERIKSON DR, ASTORIA, OR 97103-2637
- **Practice address phone:** (503) 338-0291
- **Practice address fax:** (503) 325-8664
- **Mailing address:** 250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 0002160 | OR | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 10/04/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2079271 | PK | — |
| 05 | — | 213331 | — | OR |
| 05 | — | 275333 | — | OR |