NPI 1003842881

Safeway INC

Organisation Community/Retail Pharmacy Enumclaw, WA

Practice location

Address: 152 Roosevelt Ave, Enumclaw, WA 98022-8246
Phone: (360) 802-1534
Fax: (360) 802-5251
Mailing address: 250 E Parkcenter Blvd, Boise, ID 83706-3940

Authorised official

Name: Kathy Giannakopoulos
Title: Enrollments Manager
Phone: (208) 395-3954

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PHAR.CF.60515595 (WA)

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1003842881
Entity type: Organization
NPI issued: 24 Jun 2006
Record last updated: 13 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.