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NPI 1174079123

OrganizationActive

Safeway Pharmacy

NPI 1174079123 · Pharmacy · Clackamas, OR

Provider details

NPI number: 1174079123
Entity type: Organization
Primary specialty: PharmacySuppliers
Authorized official: Jordyn Nelson, Pharmacist
License: RPH-0015402 (OR)

Practice location

16300 Se Evelyn St

Clackamas, OR 97015-9515

Phone: (503) 451-4009

More OR providers

Mailing address

3210 Kinsrow Ave

Eugene, OR 97401-8864

Registry dates

Enumerated: 2016-08-30
Last updated: 2016-08-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Safeway Pharmacy — NPI 1174079123, Clackamas, OR | NPI Central