Safeway Pharmacy #1824
LBN: Safeway Inc
Safeway Pharmacy #1824 is an health care organization with primary practice located at 1020 Johnson Blvd , South Lake Tahoe CA 96150-8214. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Safeway Inc can be contacted via phone (530) 542-7744, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
1020 Johnson Blvd
South Lake Tahoe CA 96150-8214
Phone: (530) 542-7744
Fax: (530) 542-7750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY52109 | California |
Profile Details
| NPI number | 1124057153 |
|---|---|
| LBN Legal business name | Safeway Inc |
| DBA Doing business as | Safeway Pharmacy #1824 |
| Authorized official | Eliopulos, Tiffany |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Oct 17th, 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 | 1124057153 | NPPES |
| California | MEDICAID | 1124057153 | |
| California | Other | 1996667 |
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