Whalio Doctors

NPI 1043256670

Safeway INC

Organisation Community/Retail Pharmacy San Jose, CA

Practice location

Address
5146 Stevens Creek Blvd, San Jose, CA 95129-1019
Phone
(408) 556-0614
Fax
(408) 556-0620
Mailing address
250 E Parkcenter Blvd, Boise, ID 83706-3940

Authorised official

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

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence PHY52463 (CA)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1043256670
Entity type
Organization
NPI issued
21 Jun 2006
Record last updated
8 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.