Safeway Pharmacy #4114

LBN: Safeway Inc
Safeway Pharmacy #4114 is an health care organization with primary practice located at 3268 Superior Ln , Bowie MD 20715-1916. 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) 464-0817, or through Rivers, Michelle Ann via phone (623) 869-3524.

Contact Information

Primary practice address
3268 Superior Ln Bowie MD 20715-1916
Phone: (301) 464-0817
Fax: (301) 262-6377
Website:
Map and Directions
Authorized official contact:
Name: Rivers, Michelle Ann CPHT
Phone: (623) 869-3524

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X P01191 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1790714715
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #4114
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790714715 NPPES
Maryland MEDICAID 223642700
Maryland Other 2113342

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