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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 1525 W Main St, Molalla, OR 97038-7362, US
Practice Location Phone503-829-4855
Practice Location Fax503-829-3486
Legal Business NameSAFEWAY INC
Other Organization NameSAFEWAY PHARMACY #1751
Other Organization Name TypeDoing Business As Name
NPI ?1740219799
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 0001848Oregon

legacy-id-icon Legacy Provider IDs of Safeway Inc

Provider IdIssuer StateIssuer TypeIssuer
P00229889Medicare Pin
0237520619Medicare Nsc
PHC015Medicare Pin
2079068OtherPK
226542OregonMedicaid

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