Safeway Inc
May also be knows as Safeway Pharmacy #1159
Community/Retail Pharmacy in Newport, WA(View on Map)
Legal Business Name
Safeway Inc
Also Known As
Safeway Pharmacy #1159
NPI Number
1013953645
NPI Type
Organization
Enumeration Date
06/21/2006
Specialties
(Taxonomies)Code
3336C0003X
332B00000X
Primary Taxonomy
Yes
No
Licenses
State
Washington
License Number
PHAR.CF.60516521
Contact
Information
Purpose
Mailing
Location
Address
250 E PARKCENTER BLVD
121 W WALNUT ST
City
Boise
Newport
State
ID
WA
Postal Code
83706-3940
99156-9030
Country
US
US
Telephone Number
N/A
(509) 447-3972
Authorized Official
Name
Kathy Giannakopoulos
Title or Position
ENROLLMENTS MANAGER
Telephone Number
(208) 395-3954
Identifiers
Identifier
2109420
6012330
Identifier State
Unknown
WA
Identifier Issuer
PK
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/02/2020
Provider Address
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