Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #2948
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
645 SAN ANTONIO RD, MOUNTAIN VIEW, CA 94040-1303
(650) 948-4605
(650) 948-4726
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83712-3940
(208) 395-6200
(623) 336-6896
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY52309
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255360202
—
CA
01
—
1997797
PK
—
Enumeration date
07/02/2006
Last updated
10/08/2018
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