Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #0188
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
1031 STEAMBOAT PKWY, RENO, NV 89521-6238
(753) 320-9117
(775) 332-0912
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
—
—
Other
Enumeration date
03/08/2021
Last updated
03/16/2021
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