Safeway Pharmacy #1542

LBN: Safeway Inc
Safeway Pharmacy #1542 is an health care organization with primary practice located at 2501 Sw Cherry Park Rd , Troutdale OR 97060-2931. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Safeway Inc can be contacted via phone (503) 674-7006, or through Giannakopoulos, Kathy via phone (208) 395-3954.

Contact Information

Primary practice address
2501 Sw Cherry Park Rd Troutdale OR 97060-2931
Fax: (503) 674-7008
Website:
Authorized official contact:
Name: Giannakopoulos, Kathy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0001575 Oregon

Profile Details

NPI number 1396774337
LBN Legal business name Safeway Inc
DBA Doing business as Safeway Pharmacy #1542
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Apr 21st, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396774337 NPPES
Oregon MEDICAID 269286
Oregon MEDICAID 165422
Oregon Other 2078746

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