Safeway Pharmacy #1994

LBN: Safeway Inc
Safeway Pharmacy #1994 is an health care organization with primary practice located at 201 Reisterstown Rd , Pikesville MD 21208-5310. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Safeway Inc can be contacted via phone (410) 413-1208, or through Rivers, Michelle Ann via phone (623) 869-3524.

Contact Information

Primary practice address
201 Reisterstown Rd Pikesville MD 21208-5310
Fax: (410) 413-1200
Website:
Authorized official contact:
Name: Rivers, Michelle Ann CPHT

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X P03135 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1477599009
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #1994
Authorized official Rivers, Michelle Ann CPHT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Dec 11th, 2008 - about 17 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 1477599009 NPPES
Other 2126868 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 401903200 OTHER ID NUMBER-COMMERCIAL NUMBER

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