Safeway INC
Pharmacy, Community/Retail Pharmacy in Sacramento, CA. Organization (NPI-2).
NPI number1528097565
StatusActive
Last updated in NPPESApr 30, 2020
Details
- NPI
- 1528097565
- Entity type
- Organization (NPI-2)
- Legal business name
- Safeway INC
- Organization subpart
- No
- Enumeration date
- Jul 2, 2006
- Certification date
- Apr 30, 2020
- Last updated
- Apr 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY52100 | CA | Yes |
| 333600000X | Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Safeway Pharmacy #2684 (Doing Business As)
Practice location
1814 19th StSacramento, CA 95811-6713
Phone 916-492-9977 · Fax 916-492-9981
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Authorized official
Kathy Giannakopoulos
Enrollments Manager
2083953954
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