Safeway Pharmacy

NPI #1174079123 in Clackamas, Oregon

Provider Information

NPI Number: 1174079123
Entity Type: Organization
Organization Name: Safeway Pharmacy
Primary Specialty: Pharmacy
Enumeration Date: Aug 30, 2016
Last Updated: Aug 30, 2016

Practice Location

Address: 16300 SE EVELYN ST
City: Clackamas
State: Oregon
ZIP Code: 97015-9515
Phone: (503) 451-4009

Authorized Official

Name: JORDYN NELSON, PHARMD
Title: PHARMACIST
Phone: (360) 393-0912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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