Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #2815
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
470 N SANTA CRUZ AVE, LOS GATOS, CA 95030-5313
(408) 354-7436
(408) 354-4652
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY52261
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932495918
—
CA
01
—
2131106
PK
—
Enumeration date
06/28/2011
Last updated
10/04/2018
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