Safeway Pharmacy #0414

LBN: Albertsons Llc
Safeway Pharmacy #0414 is an health care organization with primary practice located at 4301 212Th St Sw , Mountlake Terrace WA 98043. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Albertsons Llc can be contacted via phone (425) 775-5011, or through Giannakopoulos, Kathy via phone (208) 395-3954.

Contact Information

Primary practice address
4301 212Th St Sw Mountlake Terrace WA 98043
Phone: (425) 775-5011
Fax: (425) 775-3949
Website:
Map and Directions
Authorized official contact:
Name: Giannakopoulos, Kathy
Phone: (208) 395-3954

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR.CF.60342811 Washington

Profile Details

NPI number 1396791802
LBN Legal business name Albertsons Llc
DBA Doing business as Safeway Pharmacy #0414
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Apr 3rd, 2020 - about 4 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 1396791802 NPPES
Other 2110447 PK
MEDICAID 6020770 PK

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