OrganizationActive
Safeway Inc
NPI 1801825849 · Community/Retail Pharmacy · Douglas, WY
Provider details
- NPI number
- 1801825849
- 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
1900 E Richards St
Douglas, WY 82633-3029
Phone: (307) 358-1706
Fax: (307) 358-1765
Approximate (ZIP-level) locationGet directions
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other names (DBA / former)
- Doing business as
- Safeway Pharmacy #0467
- Doing business as
- Safeway Pharmacy #0467
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 2020-03-12
- Certified
- 2020-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.