Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #0307
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
215 E ROSE ST, WALLA WALLA, WA 99362-1216
(509) 522-0227
(509) 522-0327
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 395-3963
(623) 336-6896
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60515326
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2109504
PK
—
05
—
500666808
—
WA
05
—
6012884
—
WA
Enumeration date
06/21/2006
Last updated
03/12/2020
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