Organization
SAFEWAY INC
Active
Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #1514
Organization subpart
No
Provider details
NPI number
Authorized official
MANAGED CARE CPHT (MANAGED CARE PLAN SPECIALIST)
(925) 467-2811
Entity
Organization
Contact information
Practice address
13314 BOTHELL EVERETT HWY, MILL CREEK, WA 98012-5509
(425) 337-4805
(425) 337-0372
Mailing address
5918 STONERIDGE MALL RD, PLEASANTON, CA 94588-3229
(925) 467-2802
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
CF00005267
WA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4924634
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6015945
—
WA
Enumeration date
07/06/2006
Last updated
06/07/2013
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