Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #3285
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
1275 E SUNSET DR, BELLINGHAM, WA 98226-3506
(360) 650-1537
(360) 738-4340
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
PHAR.CF.60531942
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164857389
—
WA
01
—
2142041
PK
—
Enumeration date
09/06/2013
Last updated
04/06/2020
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