| NPI | 1215973094 |
|---|---|
| Doing Business As | SAFEWAY PHARMACY #4202 |
| Entity Type | Organization |
| Authorized Contact | TIFFANY ELIOPULOS Assistant Manager, Enrollments 208-395-3906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: DC RX0000079) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-09-27 |