Safeway Pharmacy #1365
LBN: Nai Saturn Eastern Llc
Safeway Pharmacy #1365 is an health care organization with primary practice located at 9525 Braddock Rd , Fairfax VA 22032-2539. 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.
Nai Saturn Eastern Llc can be contacted via phone (703) 978-7326, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
9525 Braddock Rd
Fairfax VA 22032-2539
Phone: (703) 978-7326
Fax: (703) 978-6091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0201002072 | Virginia |
Profile Details
| NPI number | 1225074842 |
|---|---|
| LBN Legal business name | Nai Saturn Eastern Llc |
| DBA Doing business as | Safeway Pharmacy #1365 |
| Authorized official | Eliopulos, Tiffany |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Sep 27th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225074842 | NPPES |
| Virginia | MEDICAID | 8514348 | |
| Virginia | Other | 2150011 |
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