Safeway Pharmacy #1492
LBN: Safeway Inc
Safeway Pharmacy #1492 is an health care organization with primary practice located at 110 E 3Rd St , Port Angeles WA 98362-3010. 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 (360) 457-0599, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
110 E 3Rd St
Port Angeles WA 98362-3010
Phone: (360) 457-0599
Fax: (360) 452-1753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHAR.CF.60517048 | Washington |
Profile Details
| NPI number | 1073559670 |
|---|---|
| LBN Legal business name | Safeway Inc |
| DBA Doing business as | Safeway Pharmacy #1492 |
| Authorized official | Eliopulos, Tiffany |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Oct 29th, 2018 - about 7 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 | 1073559670 | NPPES |
| Other | 2108341 | PK | |
| MEDICAID | 6001226 | PK |
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