Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #0748
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
3383 BASS LAKE RD, EL DORADO HILLS, CA 95762
(530) 313-4925
(503) 313-4926
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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