Safeway Pharmacy #4218

LBN: Nai Saturn Eastern Llc
Safeway Pharmacy #4218 is an health care organization with primary practice located at 437 S King St , Leesburg VA 20175-3618. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Nai Saturn Eastern Llc can be contacted via phone (703) 771-1741, or through Eliopulos, Tiffany via phone (208) 395-3906.

Contact Information

Primary practice address
437 S King St Leesburg VA 20175-3618
Fax: (703) 777-4662
Website:
Authorized official contact:
Name: Eliopulos, Tiffany

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201002557 Virginia

Profile Details

NPI number 1861438483
LBN Legal business name Nai Saturn Eastern Llc
DBA Doing business as Safeway Pharmacy #4218
Authorized official Eliopulos, Tiffany
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Sep 27th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861438483 NPPES
Other 2150012 PK
MEDICAID 8503486 PK

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