Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #1713
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
22000 SALAMO RD, WEST LINN, OR 97068-7230
(503) 650-6426
(503) 650-6724
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 395-3963
(623) 336-6896
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0001807
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079054
PK
—
05
—
226309
—
OR
05
—
500649633
—
OR
Enumeration date
07/02/2006
Last updated
04/16/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us