Organization
SAFEWAY INC
Active
Organization
SAFEWAY INC
Active
Other names
CARRS PHARMACY #0520
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
3101 PENLAND PKWY, ANCHORAGE, AK 99508-1906
(907) 339-5260
(907) 339-5219
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
362
AK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202527
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PH1613
—
AK
Enumeration date
07/02/2006
Last updated
04/16/2020
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