Safeway INC
Pharmacy, Community/Retail Pharmacy in Walnut Creek, CA. Organization (NPI-2).
NPI number1891724829
StatusActive
Last updated in NPPESApr 2, 2020
Details
- NPI
- 1891724829
- Entity type
- Organization (NPI-2)
- Legal business name
- Safeway INC
- Organization subpart
- No
- Enumeration date
- Jul 2, 2006
- Certification date
- Apr 2, 2020
- Last updated
- Apr 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY52372 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Safeway Pharmacy #0917 (Doing Business As)
Practice location
600 S BroadwayWalnut Creek, CA 94596-5208
Phone 925-945-3440 · Fax 925-945-3645
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Phone 208-395-6200 · Fax 623-336-6896
Authorized official
Kathy Giannakopoulos
Enrollments Manager
2083953954
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