Organization · Type 2 NPI

Safeway Inc

Community/Retail Pharmacy · Coeur D Alene, ID

NPI number 1164468781 Active

Practice location

121 W Neider Ave
Coeur D Alene, ID 83815-9300

Call (208) 765-4410 Map

Fax (208) 765-0451

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	40536RP (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 …

Another provider at this address

Ronald Edward NelsonPharmacist Coeur D Alene, ID NPI 1205136918

Other community/retail pharmacy providers in Coeur D Alene

See all in Coeur D Alene →

NPI record

NPI: 1164468781
Entity type: Organization (Type 2)
Issued: Jun 21, 2006
Last updated: Apr 6, 2020
Status: Active

Other names

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Safeway Pharmacy #1470 · doing business as
Safeway Pharmacy #1470 · 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 1164468781

Safeway Inc's National Provider Identifier is 1164468781, issued on Jun 21, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Coeur D Alene, ID. The record was last updated on Apr 6, 2020.