Safeway Pharmacy #1976

LBN: Safeway Inc
Safeway Pharmacy #1976 is an health care organization with primary practice located at 1550 N Pacific Hwy , Woodburn OR 97071-3622. 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 (503) 982-2864, or through Giannakopoulos, Kathy via phone (208) 395-3954.

Contact Information

Primary practice address
1550 N Pacific Hwy Woodburn OR 97071-3622
Phone: (503) 982-2864
Fax: (503) 982-2868
Website:
Map and Directions
Authorized official contact:
Name: Giannakopoulos, Kathy
Phone: (208) 395-3954

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0001067 Oregon

Profile Details

NPI number 1598794539
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #1976
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 1598794539 NPPES
Other 2078045 PK
MEDICAID 181558 PK
MEDICAID 269294 PK

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