Safeway Pharmacy #2811
LBN: Safeway Inc
Safeway Pharmacy #2811 is an health care organization with primary practice located at 3335 N Academy Blvd , Colorado Springs CO 80917-5103. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Safeway Inc can be contacted via phone (719) 574-1560, or through Rivers, Michelle Ann via phone (623) 869-3524.
Contact Information
Primary practice address
3335 N Academy Blvd
Colorado Springs CO 80917-5103
Phone: (719) 574-1560
Fax: (719) 574-3540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 02459 | Colorado |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1619913225 |
|---|---|
| LBN Legal business name | Safeway Inc |
| DBA Doing business as | Safeway Pharmacy #2811 |
| Authorized official | Rivers, Michelle Ann CPHT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Dec 15th, 2008 - about 18 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 | 1619913225 | NPPES |
| Colorado | MEDICAID | 03765328 | |
| Colorado | Other | 0606369 | |
| Colorado | Other | PHC015 | |
| Colorado | Other | P00229889 |
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