| NPI | 1982635793 |
|---|---|
| Doing Business As | SAFEWAY PHARMACY #1269 |
| Entity Type | Organization |
| Authorized Contact | SUNNY YOST Managed Care Plan Specialist 925-467-2806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR RP-0001117) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-06-06 |