NPI 1124057161

Safeway INC

Organisation Community/Retail Pharmacy Stayton, OR

Practice location

Address: 1535 N 1st Ave, Stayton, OR 97383-1213
Phone: (503) 769-5345
Fax: (503) 769-6183
Mailing address: 250 E Parkcenter Blvd, Boise, ID 83706-3940

Authorised official

Name: Kathy Giannakopoulos
Title: Enrollments Manager
Phone: (208) 395-3954

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 0000503 (OR)

Other Pharmacy providers in Oregon →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1124057161
Entity type: Organization
NPI issued: 2 Jul 2006
Record last updated: 8 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.