Safeway Pharmacy #4126
LBN: Safeway Inc
Safeway Pharmacy #4126 is an health care organization with primary practice located at 50 Watkins Park Dr , Upper Marlboro MD 20774-1628. 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 (301) 249-4203, or through Rivers, Michelle Ann via phone (623) 869-3524.
Contact Information
Primary practice address
50 Watkins Park Dr
Upper Marlboro MD 20774-1628
Phone: (301) 249-4203
Fax: (301) 249-4235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | P01235 | Maryland |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1609805621 |
|---|---|
| LBN Legal business name | Safeway Inc |
| DBA Doing business as | Safeway Pharmacy #4126 |
| Authorized official | Rivers, Michelle Ann CPHT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Dec 16th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609805621 | NPPES |
| Other | 2113683 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 223742300 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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