Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #1115
Organization subpart
No
Provider details
NPI number
Authorized official
RITA CALARA CPHT (MANAGED CARE PLAN SPECIALIST)
(925) 467-2811
Entity
Organization
Contact information
Practice address
7150 LEETSDALE DR, DENVER, CO 80224-3529
(303) 377-7116
(303) 355-4177
Mailing address
5918 STONERIDGE MALL RD, PLEASANTON, CA 94588-3229
(925) 467-2811
(925) 467-2802
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
228
CO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03001658
—
CO
01
—
0609808
NCPDP
CO
Enumeration date
07/02/2006
Last updated
02/12/2015
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