NPI | 1083049688 |
---|---|
Doing Business As | SAFEWAY PHARMACY #2781 |
Entity Type | Organization |
Authorized Contact | TIFFANY ELIOPULOS Assistant Manager, Enrollments 208-395-3906 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P06635) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2013-09-13 |
Last Update Date | 2019-01-08 |