Safeway Pharmacy #2069

LBN: Safeway Inc
Safeway Pharmacy #2069 is an health care organization with primary practice located at 20 E White Mountain Blvd , Lakeside AZ 85929-6807. 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 (928) 367-5442, or through Giannakopoulos, Kathy via phone (208) 395-3954.

Contact Information

Primary practice address
20 E White Mountain Blvd Lakeside AZ 85929-6807
Fax: (928) 367-3391
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 Y006155 Arizona

Profile Details

NPI number 1972539757
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #2069
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Apr 1st, 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 1972539757 NPPES
Other 1991363 PK
MEDICAID 632506 PK

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