Safeway Pharmacy #2004
LBN: Safeway Inc
Safeway Pharmacy #2004 is an health care organization with primary practice located at 3540 E Main St , Farmington NM 87402-5329. 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.
Safeway Inc can be contacted via phone (505) 564-3086, or through Giannakopoulos, Kathy via phone (208) 395-3954.
Contact Information
Primary practice address
3540 E Main St
Farmington NM 87402-5329
Phone: (505) 564-3086
Fax: (505) 564-3089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH00003868 | New Mexico |
Profile Details
| NPI number | 1003852864 |
|---|---|
| LBN Legal business name | Safeway Inc |
| DBA Doing business as | Safeway Pharmacy #2004 |
| Authorized official | Giannakopoulos, Kathy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Apr 1st, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003852864 | NPPES |
| New Mexico | MEDICAID | 0000N1393 | |
| New Mexico | Other | 2058856 |
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