Safeway Pharmacy #2631

LBN: Safeway Inc
Safeway Pharmacy #2631 is an health care organization with primary practice located at 14555 Sw Teal Blvd , Beaverton OR 97007-6193. 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) 590-9756, or through Giannakopoulos, Kathy via phone (208) 395-3954.

Contact Information

Primary practice address
14555 Sw Teal Blvd Beaverton OR 97007-6193
Fax: (503) 590-6301
Website:
Authorized official contact:
Name: Giannakopoulos, Kathy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0001984 Oregon

Profile Details

NPI number 1568491512
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #2631
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Apr 8th, 2020 - about 4 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 1568491512 NPPES
Other 2079220 PK
MEDICAID 275334 PK
MEDICAID 269622 PK

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