Safeway Pharmacy #4103

LBN: Safeway Inc
Safeway Pharmacy #4103 is an health care organization with primary practice located at 2346 Iverson St , Temple Hills MD 20748-6801. 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 (301) 423-0462, or through Hawkins, Demond T via phone (623) 869-3524.

Contact Information

Primary practice address
2346 Iverson St Temple Hills MD 20748-6801
Phone: (301) 423-0462
Fax: (301) 423-5149
Website:
Map and Directions
Authorized official contact:
Name: Hawkins, Demond T CPHT
Phone: (623) 869-3524

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X P02030 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1932145562
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #4103
Authorized official Hawkins, Demond T CPHT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Dec 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932145562 NPPES
Maryland MEDICAID 263480500
Maryland Other 2121274

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