Dominicks

LBN: Safeway Inc
Dominicks is an health care organization with primary practice located at 1968 Sibley Blvd , Calumet City IL 60409-2115. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Safeway Inc can be contacted via phone (708) 730-0061, or through Harris, Patrick via phone (623) 869-3778.

Contact Information

Primary practice address
1968 Sibley Blvd Calumet City IL 60409-2115
Phone: (708) 730-0061
Fax: (708) 832-9274
Website:
Map and Directions
Authorized official contact:
Name: Harris, Patrick CPHT MBA
Phone: (623) 869-3778

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 54012096 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1922037985
LBN Legal business name Safeway Inc
DBA Doing business as Dominicks
Authorized official Harris, Patrick CPHT MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Aug 22nd, 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 1922037985 NPPES
Other 1453276 OTHER ID NUMBER-COMMERCIAL NUMBER

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