Organization · Type 2 NPI

Safeway Inc

Community/Retail Pharmacy · Portland, OR

NPI number 1205086493 Active

Practice location

1303 NW Lovejoy St
Portland, OR 97209-2785

Call (503) 205-6751 Map

Fax (503) 205-6750

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	RP0002506 (OR)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

7 other providers at this address

Other community/retail pharmacy providers in Portland

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NPI record

NPI: 1205086493
Entity type: Organization (Type 2)
Issued: Sep 24, 2008
Last updated: Apr 16, 2020
Status: Active

Other names

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Safeway Pharmacy #2790 · doing business as
Safeway Pharmacy #2790 · doing business as

Authorized official

Kathy Giannakopoulos
Enrollments Manager
(208) 395-3954

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205086493

Safeway Inc's National Provider Identifier is 1205086493, issued on Sep 24, 2008. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Portland, OR. The record was last updated on Apr 16, 2020.