Safeway INC
NPI #1124057153 in South Lake Tahoe, California
Provider Information
- NPI Number
- 1124057153
- Entity Type
- Organization
- Organization Name
- Safeway INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 2, 2006
- Last Updated
- Oct 17, 2018
Practice Location
- Address
- 1020 JOHNSON BLVD
- City
- South Lake Tahoe
- State
- California
- ZIP Code
- 96150-8214
- Phone
- (530) 542-7744
Authorized Official
- Name
- TIFFANY ELIOPULOS
- Title
- ASSISTANT MANAGER, ENROLLMENTS
- Phone
- (208) 395-3906
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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