Whalio Doctors

NPI 1649509415

Safeway INC

Organisation Community/Retail Pharmacy Lander, WY

Practice location

Address
1165 Main St, Lander, WY 82520-2665
Phone
(307) 332-3939
Fax
(307) 332-3733
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 R10132 (WY)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X

Registry record

NPI
1649509415
Entity type
Organization
NPI issued
8 Dec 2009
Record last updated
21 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.