| NPI | 1013946052 |
|---|---|
| Doing Business As | SAFEWAY PHARMACY #1808 |
| Doing Business As | CARRS PHARMCAY #1808 |
| Entity Type | Organization |
| Authorized Contact | KATHY GIANNAKOPOULOS Enrollments Manager 208-395-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AK 400) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-03-04 |