Organization
ALBERTSONS LLC
Active
Other names
Safeway Pharmacy #0149
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
1610 W LINCOLN AVE, YAKIMA, WA 98902
(509) 452-6567
(509) 469-1778
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60342951
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2109527
PK
—
05
—
6013452
—
WA
Enumeration date
05/26/2006
Last updated
04/02/2020
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