Organization
CARR-GOTTSTEIN FOODS CO
Active
Parent organization
SAFEWAY INC
Other names
CARRS PHARMACY #1809
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAFEWAY INC
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
5600 DEBARR RD, ANCHORAGE, AK 99504-2304
(907) 339-0960
(907) 339-0919
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200105
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/02/2006
Last updated
03/04/2020
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