Safeway

NPI #1053860791 in Clackamas, Oregon

Provider Information

NPI Number: 1053860791
Entity Type: Organization
Organization Name: Safeway
Primary Specialty: Pharmacy
Enumeration Date: Sep 22, 2016
Last Updated: Sep 22, 2016

Practice Location

Address: 16300 SE EVELYN ST
City: Clackamas
State: Oregon
ZIP Code: 97015-9515
Phone: (503) 305-9700

Authorized Official

Name: CONNIE DUNN
Title: PHARMACY DISTRICT MANAGER
Phone: (503) 305-9681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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