Organization

Safeway Inc

May also be knows as Safeway Pharmacy #1581

Community/Retail Pharmacy in Dillon, MT(View on Map)

Legal Business Name

Safeway Inc

Also Known As

Safeway Pharmacy #1581

NPI Number

1659300671

NPI Type

Organization

Enumeration Date

07/02/2006

Specialties

(Taxonomies)

Code

3336C0003X
332B00000X
333600000X

Primary Taxonomy

Yes
No
No

Licenses

State

Montana

License Number

PHA-PHR-LIC-27869

Contact
Information

Purpose

Mailing
Location

Address

250 E PARKCENTER BLVD
570 N MONTANA ST

City

Boise
Dillon

State

ID
MT

Postal Code

83706-3940
59725-3315

Country

US
US

Telephone Number

N/A
(406) 683-6226

Authorized Official

Name

Kathy Giannakopoulos

Title or Position

ENROLLMENTS MANAGER

Telephone Number

(208) 395-3954

Identifiers

Identifier

00005605206
2051851
000214604

Identifier State

MT
Unknown
MT

Identifier Issuer

Unknown
PK
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/03/2020

Provider Address

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