Organization
SAFEWAY INC
Active
Other names
Haggen Pharmacy #3444
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
1313 COOPER POINT RD SW, OLYMPIA, WA 98502-5729
(360) 754-1504
(360) 754-1782
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 395-3906
(623) 336-6896
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60657838
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2062860
—
WA
01
—
2160016
PK
—
Enumeration date
05/04/2016
Last updated
04/14/2020
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