Whalio Doctors

NPI 1003852864

Safeway INC

Organisation Community/Retail Pharmacy Farmington, NM

Practice location

Address
3540 E Main St, Farmington, NM 87402-5329
Phone
(505) 564-3086
Fax
(505) 564-3089
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 PH00003868 (NM)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X

Registry record

NPI
1003852864
Entity type
Organization
NPI issued
21 Jun 2006
Record last updated
1 Apr 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.