Organization
SAFEWAY INC
Active
Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #2138
Organization subpart
No
Provider details
NPI number
Authorized official
RITA CALARA CPHT (MANAGED CARE PLAN SPECIALIST)
(925) 467-2811
Entity
Organization
Contact information
Practice address
1730 S BUCKLEY RD, AURORA, CO 80017-5172
(303) 695-1694
(303) 695-4272
Mailing address
5918 STONERIDGE MALL RD, PLEASANTON, CA 94588-3229
(925) 467-2806
(925) 467-2802
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PDO-0070000026
CO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03765492
—
CO
01
—
0609290
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/21/2006
Last updated
06/13/2014
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