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Safeway Inc

Safeway Inc is a health care provider in Boise, ID. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1645 140th Ave Ne, Bellevue, WA 98005-2320, US
Practice Location Phone425-643-1778
Practice Location Fax425-643-1816
Legal Business NameSAFEWAY INC
Other Organization NameSAFEWAY PHARMACY #0490
Other Organization Name TypeDoing Business As Name
NPI ?1053340083
Entity TypeOrganization
Enumeration Date ? Jul 2, 2006
Last Update Date ? Dec 21, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Safeway Inc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies
PharmacyCommunity/Retail Pharmacy PHAR.CF.60515592Washington

legacy-id-icon Legacy Provider IDs of Safeway Inc

Provider IdIssuer StateIssuer TypeIssuer
2110925OtherPK
6024129WashingtonMedicaid

official-icon Authorized Official of Safeway Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Safeway Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Demond Hawkins
Authorized Official Title/PositionMGR, HOST ADMIN & ENROLLMENTS
Authorized Official Phone Number208-395-3905