Organization
SAFEWAY INC
Active
Other names
SAFEWAY
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK HARRIS CPHT MBA (MANAGED CARE ANALYST)
(623) 869-3778
Entity
Organization
Contact information
Practice address
650 MALLEY DR, NORTHGLENN, CO 80233-1926
(303) 451-9221
(303) 451-7349
Mailing address
20427 N 27TH AVE MSC 4501, PHOENIX, AZ 85027-3241
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
CO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03765344
—
CO
01
—
0609707
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00229889
RAILROAD
—
01
—
PHC015
FLU
—
Enumeration date
06/21/2006
Last updated
11/16/2007
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