| NPI | 1659926236 |
|---|---|
| Doing Business As | SAFEWAY PHARMACY #2729 |
| Entity Type | Organization |
| Authorized Contact | KATHY GIANNAKOPOULOS Manager, Enrollments 208-395-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-12-13 |