Safeway Pharmacy #3295

LBN: Safeway Inc
Safeway Pharmacy #3295 is an health care organization with primary practice located at 1001 N 4Th St , Coeur D Alene ID 83814-3113. 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 (208) 667-3860, or through Giannakopoulos, Kathy via phone (208) 395-3954.

Contact Information

Primary practice address
1001 N 4Th St Coeur D Alene ID 83814-3113
Fax: (208) 664-1659
Website:
Authorized official contact:
Name: Giannakopoulos, Kathy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 40542 Idaho

Profile Details

NPI number 1578592531
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #3295
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Apr 2nd, 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 1578592531 NPPES
Idaho MEDICAID 003486600
Idaho Other 2020942
Idaho MEDICAID 1578592531

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