NPI 1639108665

Safeway INC

Organisation Community/Retail Pharmacy Madras, OR

Practice location

Address: 80 NE Cedar St, Madras, OR 97741-1956
Phone: (541) 325-0466
Fax: (541) 325-0468
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 0001002 (OR)

Other Pharmacy providers in Oregon →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1639108665
Entity type: Organization
NPI issued: 2 Jul 2006
Record last updated: 3 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.