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NPI Code Detail

MEDICARE: SAFEWAY INC

MEDICARE: SAFEWAY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies228CO
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20609808OTHERCONCPDP

General Provider Information

NPI Number : 1730118795
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAFEWAY INC
Provider Business Mailing Address
First Line : 5918 STONERIDGE MALL RD
Second Line :
City : PLEASANTON
State : CA
Zip : 94588-3229
Country : US
Telephone Number : 925-467-2811
Fax Number : 925-467-2802
Provider Business Practice Location Address
First Line : 7150 LEETSDALE DR
Second Line :
City : DENVER
State : CO
Zip : 80224-3529
Country : US
Telephone Number : 303-377-7116
Fax Number : 303-355-4177
Authorized Official
Title or Position : MANAGED CARE PLAN SPECIALIST
Name : RITA CALARA
Credential : CPHT
Telephone Number : 925-467-2811
Provider Enumeration Date : 07/02/2006
Last Update Date : 02/12/2015

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Directions to “SAFEWAY INC ” Practice Location

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