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General NPI Number Information
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NPI Number | 1376572321
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Entity Type | Organization
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Legal Business Name | SAFEWAY INC
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7655 N UNION BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3863
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Country | US
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Telephone | 719-531-9537
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Fax | 719-531-6881
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Provider Business Mailing Address
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Address Line | 20427 N 27TH AVE MSC 4501
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City | PHOENIX
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State | AZ
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Zip | 85027-3241
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGED CARE ANALYST
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Name | PATRICK HARRIS
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Credential | CPHT MBA
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Telephone | 623-869-3778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State | CO
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