Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #0209
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
22983 E RIGGS RD, QUEEN CREEK, AZ 85142-7316
(480) 281-0470
(480) 281-0471
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 395-6200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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