NPI | 1386996353 |
---|---|
Doing Business As | SAFEWAY PHARMACY #2897 |
Entity Type | Organization |
Authorized Contact | TIFFANY ELIOPULOS Assistant Manager, Enrollments 208-395-3906 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: HI PHY-862) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2012-10-15 |
Last Update Date | 2018-10-05 |