Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #0521
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
20151 SE HIGHWAY 212, BORING, OR 97089-9220
(503) 658-7005
(503) 658-7081
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
0001006
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111930
—
OR
01
—
2077957
PK
—
05
—
269248
—
OR
Enumeration date
07/02/2006
Last updated
04/03/2020
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