Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #3006
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
1451 HIGHLANDS DR NE, ISSAQUAH, WA 98029-6240
(425) 392-4181
(425) 391-2386
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
PHAR.CF.60520753
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245667450
—
WA
01
—
2142280
PK
—
Enumeration date
10/02/2013
Last updated
04/15/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us