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Contact Information

SAFEWAY INC
101 NACO RD
BISBEE, AZ85603
 Phone: 520-432-2274
 Fax: 520-432-2262
 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 # 1821024605
LBN Legal business name SAFEWAY INC
Authorized official KATHY GIANNAKOPOULOS - (ENROLLMENTS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2006
Last updated 03/09/2020 - About 6 years ago
Identifiers
AZ License # Y006114
AZ Medicaid 405052
Other 1989988 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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