Organization
CARR-GOTTSTEIN FOODS CO
Active
Other names
SAFEWAY PHARMACY #1820
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
3033 VINTAGE BLVD, JUNEAU, AK 99801-7109
(907) 523-2060
(907) 523-2019
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
376
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028545
—
AK
05
—
1600925
—
AK
01
—
1996868
PK
—
Enumeration date
07/02/2006
Last updated
03/04/2020
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