Safeway Pharmacy #4504

LBN: Safeway Inc
Safeway Pharmacy #4504 is an health care organization with primary practice located at 1815 Wisconsin Ave Nw , Washington DC 20007-2302. 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 (202) 333-6048, or through Rivers, Michelle via phone (623) 869-3524.

Contact Information

Primary practice address
1815 Wisconsin Ave Nw Washington DC 20007-2302
Fax: (202) 333-8318
Website:
Authorized official contact:
Name: Rivers, Michelle

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X District of Columbia
Suppliers / Community/Retail Pharmacy 3336C0003X District of Columbia

Profile Details

NPI number 1598908790
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #4504
Authorized official Rivers, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2009
Last updated Jun 16th, 2010 - about 16 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 1598908790 NPPES
District of Columbia Other 0904599 NCPDP
District of Columbia MEDICAID 033588600 NCPDP

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