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Contact Information

SAFEWAY INC
1650 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ86403
 Phone: 928-855-9200
 Fax: 928-855-9664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SAFEWAY INC

NPI Number 1811926868
LBN Legal business name SAFEWAY INC
Authorized official KATHY GIANNAKOPOULOS - (ENROLLMENTS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2006
Last updated 03/09/2020 - About 6 years ago
Identifiers
AZ License # Y006100
AZ Medicaid 008210
Other 1989041 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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