Safeway Pharmacy #1759
LBN: Nai Saturn Eastern Llc
Safeway Pharmacy #1759 is an health care organization with primary practice located at 22350 S Sterling Blvd , Sterling VA 20164-4243. 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) 948-1083, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
22350 S Sterling Blvd
Sterling VA 20164-4243
Phone: (703) 948-1083
Fax: (703) 948-1087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0201003718 | Virginia |
Profile Details
| NPI number | 1912936923 |
|---|---|
| LBN Legal business name | Nai Saturn Eastern Llc |
| DBA Doing business as | Safeway Pharmacy #1759 |
| 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 | 1912936923 | NPPES |
| Other | 2150038 | PK | |
| MEDICAID | 8512353 | PK |
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