Organization

Safeway Inc

May also be knows as Safeway Pharmacy #1436

Community/Retail Pharmacy in Tacoma, WA(View on Map)

Legal Business Name

Safeway Inc

Also Known As

Safeway Pharmacy #1436

NPI Number

1679502694

NPI Type

Organization

Enumeration Date

07/02/2006

Specialties

(Taxonomies)

Code

3336C0003X
332B00000X

Primary Taxonomy

Yes
No

Licenses

State

Washington

License Number

PHAR.CF.60516814

Contact
Information

Purpose

Mailing
Location

Address

250 E PARKCENTER BLVD
1624 72ND ST E

City

Boise
Tacoma

State

ID
WA

Postal Code

83706-3940
98404-5401

Country

US
US

Telephone Number

N/A
(253) 537-2435

Authorized Official

Name

Kathy Giannakopoulos

Title or Position

ENROLLMENTS MANAGER

Telephone Number

(208) 395-3954

Identifiers

Identifier

6014153
2109673

Identifier State

WA
Unknown

Identifier Issuer

Unknown
PK

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

Data last updated by provider on 03/11/2020

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