Safeway Pharmacy #1952

LBN: Safeway Inc
Safeway Pharmacy #1952 is an health care organization with primary practice located at 4280 Martin Way E , Olympia WA 98516-5354. 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) 456-0709, or through Eliopulos, Tiffany via phone (208) 395-3906.

Contact Information

Primary practice address
4280 Martin Way E Olympia WA 98516-5354
Phone: (360) 456-0709
Fax: (360) 459-9516
Website:
Map and Directions
Authorized official contact:
Name: Eliopulos, Tiffany
Phone: (208) 395-3906

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR.CF.60520463 Washington

Profile Details

NPI number 1134158165
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #1952
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134158165 NPPES
Other 2107484 PK
MEDICAID 6026389 PK

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