Organization · Type 2 NPI

Safeway Inc

Community/Retail Pharmacy · Petaluma, CA

NPI number 1962448571 Active

Practice location

389 S Mcdowell Blvd
Petaluma, CA 94954-3507

Call (707) 766-9477 Map

Fax (707) 762-1159

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	PHY52352 (CA)

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 …

2 other providers at this address

Other community/retail pharmacy providers in Petaluma

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NPI record

NPI: 1962448571
Entity type: Organization (Type 2)
Issued: Jun 21, 2006
Last updated: Oct 8, 2018
Status: Active

Other names

<unavail>
Safeway Pharmacy #3011 · doing business as
Safeway Pharmacy #3011 · doing business as

Authorized official

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

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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 1962448571

Safeway Inc's National Provider Identifier is 1962448571, issued on Jun 21, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Petaluma, CA. The record was last updated on Oct 8, 2018.