NPI 1003845033
Safeway INC
Practice location
- Address
- 2111 Adams Ave, La Grande, OR 97850-2921
- Phone
- (541) 663-2706
- Fax
- (541) 663-2708
- 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
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1003845033
- Entity type
- Organization
- NPI issued
- 2 Jul 2006
- Record last updated
- 31 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.