NPI 1801825849 · live from the CMS NPI Registry
Safeway INC
Pharmacy, Community/Retail Pharmacy in Douglas, WY. National Provider Identifier 1801825849, active.
NPI record
| NPI | 1801825849 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1900 E Richards St, Douglas, WY 82633 |
| Practice phone | 307-358-1706 |
| Mailing address | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Enumerated | July 2, 2006 |
| Last updated | March 12, 2020 |
| Authorized official | Kathy Giannakopoulos, Enrollments Manager |
| Other names | Safeway Pharmacy #0467 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | R10131 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.