Whalio Doctors

NPI 1164468781

Safeway INC

Organisation Community/Retail Pharmacy Coeur D Alene, ID

Practice location

Address
121 W Neider Ave, Coeur D Alene, ID 83815-9300
Phone
(208) 765-4410
Fax
(208) 765-0451
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 40536RP (ID)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X

Registry record

NPI
1164468781
Entity type
Organization
NPI issued
21 Jun 2006
Record last updated
6 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.