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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 1540 Main St, Sweet Home, OR 97386-1614, US
Practice Location Phone541-367-0675
Practice Location Fax541-367-0678
Legal Business NameSAFEWAY INC
Other Organization NameSAFEWAY PHARMACY #1710
Other Organization Name TypeDoing Business As Name
NPI ?1750310793
Entity TypeOrganization
Enumeration Date ? Jul 2, 2006
Last Update Date ? Oct 17, 2018
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 0000554Oregon

legacy-id-icon Legacy Provider IDs of Safeway Inc

Provider IdIssuer StateIssuer TypeIssuer
2079035OtherPK
181120OregonMedicaid

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 Tiffany Eliopulos
Authorized Official Title/PositionASSISTANT MANAGER, ENROLLMENTS
Authorized Official Phone Number208-395-3906