| NPI | 1760428379 |
|---|---|
| Doing Business As | SAFEWAY PHARMACY #4872 |
| Entity Type | Organization |
| Authorized Contact | KATHY GIANNAKOPOULOS Enrollments Manager 208-395-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD P06645) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2022-07-18 |