Safeway INC
Pharmacy, Community/Retail Pharmacy in Kodiak, AK. Organization (NPI-2).
NPI number1033729322
StatusActive
Last updated in NPPESAug 3, 2020
Details
- NPI
- 1033729322
- Entity type
- Organization (NPI-2)
- Legal business name
- Safeway INC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2020
- Certification date
- Aug 3, 2020
- Last updated
- Aug 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Safeway Pharmacy #1090 (Doing Business As)
Practice location
2685 Mill RdKodiak, AK 99615-6638
Phone 907-481-1560 · Fax 907-481-1519
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Phone 208-395-6200
Authorized official
Kathy Giannakopoulos
Enrollments Manager
2083953954
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