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Organization

SAFEWAY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization

Contact information

Practice address
7375 E ARAPAHOE RD, ENGLEWOOD, CO 80112
(303) 779-5520
(303) 771-9467
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 395-6200
(623) 336-6896

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
PDO.0370000027
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03765682
CO
01
2001663
PK
Enumeration date
07/02/2006
Last updated
03/09/2020
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