Organization
SAFEWAY TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GABRIELLE RABON (VICE PRESIDENT)
(414) 405-4013
Entity
Organization
Contact information
Practice address
8648 N 53RD ST, BROWN DEER, WI 53223-3010
(414) 264-9455
(414) 264-4646
Mailing address
8648 N 53RD ST, BROWN DEER, WI 53223-3010
(414) 264-9455
(414) 264-4646
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
347E00000X
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41483000
—
WI
Enumeration date
06/16/2011
Last updated
06/16/2011
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