Safeway Pharmacy #1484
LBN: Safeway Inc
Safeway Pharmacy #1484 is an health care organization with primary practice located at 4128 Rucker Ave , Everett WA 98203-2211. 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 (425) 252-1911, or through Giannakopoulos, Kathy via phone (208) 395-3954.
Contact Information
Primary practice address
4128 Rucker Ave
Everett WA 98203-2211
Phone: (425) 252-1911
Fax: (425) 252-2648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHAR.CF.60517027 | Washington |
Profile Details
| NPI number | 1104857903 |
|---|---|
| LBN Legal business name | Safeway Inc |
| DBA Doing business as | Safeway Pharmacy #1484 |
| Authorized official | Giannakopoulos, Kathy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 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 | 1104857903 | NPPES |
| Other | 2110502 | PK | |
| MEDICAID | 6021430 | PK |
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