Organization
CARR-GOTTSTEIN FOODS CO
Active
Parent organization
SAFEWAY INC
Other names
CARRS PHARMACY #1811
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAFEWAY INC
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
595 E PARKS HIGHWAY # 300, WASILLA, AK 99687
(907) 352-1160
(907) 352-1119
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
322
AK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201107
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PH0095
—
AK
Enumeration date
07/02/2006
Last updated
03/04/2020
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