Organization
CARR-GOTTSTEIN FOODS CO
Active
Parent organization
SAFEWAY INC
Other names
CARRS PHARMACY #1817
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAFEWAY INC
Authorized official
KATHY GIANNAKOPOULOS (MANAGER ENROLLMENTS)
(208) 395-3954
Entity
Organization
Contact information
Practice address
7731 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99504-3572
(907) 339-1760
(907) 339-1719
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
327
AK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201462
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/06/2006
Last updated
03/04/2020
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