Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #0747
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
850 WOODSIDE RD, REDWOOD CITY, CA 94061-3746
(650) 365-3682
(650) 365-4992
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 395-6200
(623) 336-6896
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY52094
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639108657
—
CA
01
—
2094539
PK
—
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