Organization
SAFEWAY INC
Active
Other names
Safeway Pharmacy #3613
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
34828 SE DOUGLAS ST, SNOQUALMIE, WA 98065-9220
(425) 363-1044
(425) 363-1043
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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