Dominicks

LBN: Safeway Inc
Dominicks is an health care organization with primary practice located at 13180 Cicero Ave , Crestwood IL 60445-1470. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Safeway Inc can be contacted via phone (708) 385-4810, or through Harris, Patrick via phone (623) 869-3778.

Contact Information

Primary practice address
13180 Cicero Ave Crestwood IL 60445-1470
Phone: (708) 385-4810
Fax: (708) 385-4653
Website:
Map and Directions
Authorized official contact:
Name: Harris, Patrick CPHT MBA
Phone: (623) 869-3778

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 54013028 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1083643050
LBN Legal business name Safeway Inc
DBA Doing business as Dominicks
Authorized official Harris, Patrick CPHT MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083643050 NPPES
Other 1460067 OTHER ID NUMBER-COMMERCIAL NUMBER

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