Safeway Pharmacy #1892

LBN: Safeway Inc
Safeway Pharmacy #1892 is an health care organization with primary practice located at 1580 E Main St , Cortez CO 81321-2934. 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. Safeway Inc can be contacted via phone (970) 564-1353, or through Eliopulos, Tiffany via phone (208) 395-3906.

Contact Information

Primary practice address
1580 E Main St Cortez CO 81321-2934
Fax: (970) 564-1362
Website:
Authorized official contact:
Name: Eliopulos, Tiffany

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PDO.0260000021 Colorado

Profile Details

NPI number 1053340018
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #1892
Authorized official Eliopulos, Tiffany
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Oct 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053340018 NPPES
Other 2003403 PK
MEDICAID 887505 PK
MEDICAID 71705821 PK

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