Organization · Type 2 NPI

Safeway Inc

Community/Retail Pharmacy · Fort Mohave, AZ

NPI number 1083643035 Active

Practice location

4823 S Highway 95
Fort Mohave, AZ 86426-8314

Call (928) 704-4443 Map

Fax (928) 704-1684

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	Y006222 (AZ)

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 …

7 other providers at this address

Other community/retail pharmacy providers in Fort Mohave

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NPI record

NPI: 1083643035
Entity type: Organization (Type 2)
Issued: Jul 2, 2006
Last updated: Apr 6, 2020
Status: Active

Other names

<unavail>
Safeway Pharmacy #1474 · doing business as
Safeway Pharmacy #1474 · doing business as

Authorized official

Kathy Giannakopoulos
Enrollments Manager
(208) 395-3954

Verify this record

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 1083643035

Safeway Inc's National Provider Identifier is 1083643035, issued on Jul 2, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Fort Mohave, AZ. The record was last updated on Apr 6, 2020.