Safeway Pharmacy #0978

LBN: Safeway Inc
Safeway Pharmacy #0978 is an health care organization with primary practice located at 660 S Main St , Fort Bragg CA 95437-5108. 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 (707) 964-4058, or through Giannakopoulos, Kathy via phone (208) 395-3954.

Contact Information

Primary practice address
660 S Main St Fort Bragg CA 95437-5108
Phone: (707) 964-4058
Fax: (707) 964-1729
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 PHY52174 California

Profile Details

NPI number 1619913498
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #0978
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Apr 2nd, 2020 - about 5 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 1619913498 NPPES
Other 2002150 PK
MEDICAID 1619913498 PK

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