Safeway Pharmacy #1512

LBN: Safeway Inc
Safeway Pharmacy #1512 is an health care organization with primary practice located at 4823 Kietzke Ln , Reno NV 89509-6549. 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 (775) 823-2323, or through Rivers, Michelle Ann via phone (623) 869-3524.

Contact Information

Primary practice address
4823 Kietzke Ln Reno NV 89509-6549
Phone: (775) 823-2323
Fax: (775) 823-2326
Website:
Map and Directions
Authorized official contact:
Name: Rivers, Michelle Ann CPHT
Phone: (623) 869-3524

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PH1065 Nevada
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1659307429
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #1512
Authorized official Rivers, Michelle Ann CPHT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Mar 4th, 2009 - about 17 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 1659307429 NPPES
Nevada MEDICAID 2816016
Nevada Other 2905822

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