OrganizationActive
Safeway Inc
NPI 1649509415 · Community/Retail Pharmacy · Lander, WY
Provider details
- NPI number
- 1649509415
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kathy Giannakopoulos, Enrollments Manager(208) 395-3954
Specialties & taxonomies
Suppliers
Suppliers
Practice location
1165 Main St
Lander, WY 82520-2665
Phone: (307) 332-3939
Fax: (307) 332-3733
Approximate (ZIP-level) locationGet directions
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other names (DBA / former)
- Doing business as
- Safeway Pharmacy #2761
- Doing business as
- Safeway Pharmacy #2761
Registry dates
- Enumerated
- 2009-12-08
- Last updated
- 2020-04-21
- Certified
- 2020-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.