National Provider Identifier Database

SAFEWAY INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

SAFEWAY INC
110 STRAWBERRY VILLAGE BLVD
BLDG 100
MILL VALLEY, CA94941
Phone: 415-360-9020
Fax: 415-360-9021
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for SAFEWAY INC

NPI Number 1790711570
Legal business name
LBN
SAFEWAY INC
Authorized official TIFFANY ELIOPULOS - (ASSISTANT MANAGER, ENROLLMENTS)
Entity Organization
Organization subpart No
Enumeration date 06/24/2006
Last updated 10/04/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PHY52317
  • CA Medicaid: 1790711570
  • Other: 1994154 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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