Safeway Pharmacy #0514

LBN: Safeway Inc
Safeway Pharmacy #0514 is an health care organization with primary practice located at 642 Ne 3Rd St , Bend OR 97701-4702. 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 (541) 312-6486, or through Giannakopoulos, Kathy via phone (208) 395-3954.

Contact Information

Primary practice address
642 Ne 3Rd St Bend OR 97701-4702
Phone: (541) 312-6486
Fax: (541) 312-6488
Website:
Map and Directions
Authorized official contact:
Name: Giannakopoulos, Kathy
Phone: (208) 395-3954

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0001016 Oregon

Profile Details

NPI number 1366471393
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #0514
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Apr 3rd, 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 1366471393 NPPES
Other 2077961 PK
MEDICAID 269245 PK
MEDICAID 137497 PK

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