Safeway Pharmacy #1259

LBN: Safeway Inc
Safeway Pharmacy #1259 is an health care organization with primary practice located at 3365 Deer Valley Rd , Antioch CA 94531-6664. 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 (925) 706-4152, or through Giannakopoulos, Kathy via phone (208) 395-3954.

Contact Information

Primary practice address
3365 Deer Valley Rd Antioch CA 94531-6664
Fax: (925) 706-4159
Website:
Authorized official contact:
Name: Giannakopoulos, Kathy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY52232 California

Profile Details

NPI number 1720017734
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #1259
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Apr 6th, 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 1720017734 NPPES
California MEDICAID 1720017734
California Other 1993418

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