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Contact Information

SAFEWAY INC
7815 N LAKE BLVD
KINGS BEACH, CA96143
 Phone: 530-546-0186
 Fax: 530-546-0277
 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 1912918053
LBN Legal business name SAFEWAY INC
Authorized official KATHY GIANNAKOPOULOS - (ENROLLMENTS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2006
Last updated 04/21/2020 - About 6 years ago
Identifiers
CA License # PHY52378
CA Medicaid 1912918053
Other 1992420 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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