Safeway INC
Pharmacy, Community/Retail Pharmacy in Roseville, CA. Organization (NPI-2).
NPI number1962431908
StatusActive
Last updated in NPPESApr 13, 2020
Details
- NPI
- 1962431908
- Entity type
- Organization (NPI-2)
- Legal business name
- Safeway INC
- Organization subpart
- No
- Enumeration date
- Jul 2, 2006
- Certification date
- Apr 13, 2020
- Last updated
- Apr 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY52238 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Safeway Pharmacy #1617 (Doing Business As)
Practice location
8640 Sierra College BlvdRoseville, CA 95661-5936
Phone 916-783-2304 · Fax 916-783-2341
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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All 32 Community/Retail Pharmacy providers in Roseville · All 6,478 providers in Roseville
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