Organization · Type 2 NPI

Safeway Inc

Community/Retail Pharmacy · Moscow, ID

NPI number 1073559696 Active

Practice location

1320 S Blaine St
Moscow, ID 83843-3971

Call (208) 882-2663 Map

Fax (208) 882-0297

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	40534RP (ID)

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 …

5 other providers at this address

Other community/retail pharmacy providers in Moscow

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NPI record

NPI: 1073559696
Entity type: Organization (Type 2)
Issued: Jun 21, 2006
Last updated: Mar 12, 2020
Status: Active

Other names

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Safeway Pharmacy #0383 · doing business as
Safeway Pharmacy #0383 · doing business as

Authorized official

Kathy Giannakopoulos
Enrollments Manager
(208) 395-3954

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073559696

Safeway Inc's National Provider Identifier is 1073559696, issued on Jun 21, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Moscow, ID. The record was last updated on Mar 12, 2020.