Organization
SAFEWAY INC
Active
Other names
Haggen Pharmacy #3600
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
8915 MARKET PL, LAKE STEVENS, WA 98258-4916
(425) 377-7110
(425) 377-7128
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 395-3906
(623) 336-6896
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60657783
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2060878
—
WA
01
—
2160012
PK
—
Enumeration date
05/04/2016
Last updated
04/13/2020
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