Safeway Pharmacy #3124
LBN: Safeway Inc
Safeway Pharmacy #3124 is an health care organization with primary practice located at 1187 S Main St , Manteca CA 95337-5747. 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 (209) 239-1809, or through Giannakopoulos, Kathy via phone (208) 395-3954.
Contact Information
Primary practice address
1187 S Main St
Manteca CA 95337-5747
Phone: (209) 239-1809
Fax: (209) 825-5903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY52246 | California |
Profile Details
| NPI number | 1720235211 |
|---|---|
| LBN Legal business name | Safeway Inc |
| DBA Doing business as | Safeway Pharmacy #3124 |
| Authorized official | Giannakopoulos, Kathy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 26th, 2008 |
| Last updated | Apr 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720235211 | NPPES |
| California | MEDICAID | 1720235211 | |
| California | Other | 2117003 |
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