Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #4103
Organization subpart
No
Provider details
NPI number
Authorized official
DEMOND T HAWKINS CPHT (MANAGED CARE PLAN SPECIALIST)
(623) 869-3524
Entity
Organization
Contact information
Practice address
2346 IVERSON ST, TEMPLE HILLS, MD 20748-6801
(301) 423-0462
(301) 423-5149
Mailing address
20427 N 27TH AVE # MSC4551, PHOENIX, AZ 85027-3241
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P02030
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121274
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
263480500
—
MD
Enumeration date
06/21/2006
Last updated
12/16/2008
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