Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #3092
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGERH)
(208) 395-3954
Entity
Organization
Contact information
Practice address
58 MAUI LANI PKWY STE 5000, WAILUKU, HI 96793-2462
(808) 243-3527
(808) 243-3531
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
PHY-860
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141938
PK
—
05
—
749244
—
HI
Enumeration date
08/26/2013
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