Organization · Type 2 NPI

Safeway Inc

Community/Retail Pharmacy · Mesa, AZ

NPI number 1962431932 Active

Practice location

9101 E Baseline Rd
Mesa, AZ 85209-7758

Call (480) 281-0180 Map

Fax (480) 281-0165

Mailing address

250 E Parkcenter Blvd, Mailstop SEC2-B
Boise, ID 83712-3940

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	Y006162 (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 …

Another provider at this address

James Petersen, PharmDPharmacist Mesa, AZ NPI 1205136157

Other community/retail pharmacy providers in Mesa

See all in Mesa →

NPI record

NPI: 1962431932
Entity type: Organization (Type 2)
Issued: Jul 2, 2006
Last updated: Oct 4, 2018
Status: Active

Other names

<unavail>
Safeway Pharmacy #2676 · doing business as
Safeway Pharmacy #2676 · doing business as

Authorized official

Tiffany Eliopulos
Assistant Manager, Enrollments
(208) 395-3906

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 1962431932

Safeway Inc's National Provider Identifier is 1962431932, issued on Jul 2, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Mesa, AZ. The record was last updated on Oct 4, 2018.