Safeway Pharmacy #1620
LBN: Nai Saturn Eastern Llc
Safeway Pharmacy #1620 is an health care organization with primary practice located at 20211 Goshen Rd , Gaithersburg MD 20879-4000. 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 (301) 670-1631, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
20211 Goshen Rd
Gaithersburg MD 20879-4000
Phone: (301) 670-1631
Fax: (301) 670-1642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P06612 | Maryland |
Profile Details
| NPI number | 1669401683 |
|---|---|
| LBN Legal business name | Nai Saturn Eastern Llc |
| DBA Doing business as | Safeway Pharmacy #1620 |
| Authorized official | Eliopulos, Tiffany |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 2nd, 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 | 1669401683 | NPPES |
| Other | 2150002 | PK | |
| MEDICAID | 423460000 | PK |
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