Safeway Pharmacy #4404
LBN: Safeway Inc
Safeway Pharmacy #4404 is an health care organization with primary practice located at 138 W Ellendale Ave , Dallas OR 97338-1408. 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 (503) 831-6006, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
138 W Ellendale Ave
Dallas OR 97338-1408
Phone: (503) 831-6006
Fax: (503) 831-6008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0001059 | Oregon |
Profile Details
| NPI number | 1053357822 |
|---|---|
| LBN Legal business name | Safeway Inc |
| DBA Doing business as | Safeway Pharmacy #4404 |
| Authorized official | Eliopulos, Tiffany |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Feb 19th, 2024 - about last year |
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 | 1053357822 | NPPES |
| Other | 2078039 | PK | |
| MEDICAID | 269299 | PK | |
| MEDICAID | 211912 | PK |
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