Safeway Pharmacy #1617

LBN: Safeway Inc
Safeway Pharmacy #1617 is an health care organization with primary practice located at 8640 Sierra College Blvd , Roseville CA 95661-5936. 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 (916) 783-2304, or through Giannakopoulos, Kathy via phone (208) 395-3954.

Contact Information

Primary practice address
8640 Sierra College Blvd Roseville CA 95661-5936
Phone: (916) 783-2304
Fax: (916) 783-2341
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 PHY52238 California

Profile Details

NPI number 1962431908
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #1617
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Apr 13th, 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 1962431908 NPPES
Other 2005129 PK
MEDICAID 1962431908 PK

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