| NPI | 1689047862 |
|---|---|
| Doing Business As | SAFEWAY PHARMACY #3274 |
| Entity Type | Organization |
| Authorized Contact | KATHY GIANNAKOPOULOS Enrollment Mgr 208-395-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P06957) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2021-12-31 |