NPI 1245276831

Safeway INC

Organisation Community/Retail Pharmacy Puyallup, WA

Practice location

Address: 13308 Meridian E, Puyallup, WA 98373-5612
Phone: (253) 435-1742
Fax: (253) 446-9886
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.60520644 (WA)

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1245276831
Entity type: Organization
NPI issued: 21 Jun 2006
Record last updated: 15 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.