| NPI | 1942744149 |
|---|---|
| Doing Business As | SAFEWAY PHARMACY #1135 |
| Entity Type | Organization |
| Authorized Contact | TIFFANY ELIOPULOS Assistant Manager, Enrollments 208-395-3906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WA PHAR.CF.60720388) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2018-10-22 |