NPI | 1104857903 |
---|---|
Doing Business As | SAFEWAY PHARMACY #1484 |
Entity Type | Organization |
Authorized Contact | KATHY GIANNAKOPOULOS Enrollments Maanger 208-395-3954 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA PHAR.CF.60517027) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-07-06 |
Last Update Date | 2020-04-01 |