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Organization
SAFEWAY INC
Active
Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #2737
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE L BARTLETT CPHT (MANAGED CARE PLAN SPECIALIST)
(623) 869-3524
Entity
Organization
Contact information
Practice address
490 L ST NW, WASHINGTON, DC 20001-2545
(202) 719-2439
(202) 719-2440
Mailing address
PO BOX 60000 FILE NO 74150, SAN FRANCISCO, CA 94160-0001
(623) 869-3524
(623) 869-1232
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
DC
3336C0003X
Community/Retail Pharmacy
Primary
RX0800359
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068812200
—
DC
01
—
0904549
NCPDP
—
Enumeration date
08/19/2008
Last updated
09/26/2011
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