| Organization Name: | SAFEWAY INC |
| NPI Number: | 1659307429 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE ANN RIVERS (MANAGED CARE PLAN SPECIALIST) |
| Mailing Address: | 4823 Kietzke Ln Reno |
| State: | NV US |
| Postal Code: | 895096549 |
| Phone Number: | 7758232323 |
| Fax Number: | 7758232326 |
| NPI Enumeration Date: | 06/24/2006 |
| NPI Last Update Date: | 03/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | PH1065 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |