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.
|Practice Location|| 1525 W Main St, Molalla, OR 97038-7362, US |
|Practice Location Phone||503-829-4855|
|Practice Location Fax||503-829-3486|
|Legal Business Name||SAFEWAY INC|
|Other Organization Name||SAFEWAY PHARMACY #1751|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Jul 2, 2006|
|Last Update Date ? ||Dec 21, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Safeway Inc
|Specialty||Provider Type||Specialization||License||License State|
|Durable Medical Equipment & Medical Supplies||Suppliers|| |
|Pharmacy||Suppliers||Community/Retail Pharmacy ||0001848||Oregon|
Legacy Provider IDs of Safeway Inc
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||MGR, HOST ADMIN & ENROLLMENTS|
|Authorized Official Phone Number||208-395-3905|