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Organization
SAFEWAY PHARMACY
Active
Organization
SAFEWAY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDYN NELSON PHARMD (PHARMACIST)
(360) 393-0912
Entity
Organization
Contact information
Practice address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
(503) 451-4009
Mailing address
3210 KINSROW AVE, APT 271, EUGENE, OR 97401-8864
(360) 393-0912
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RPH-0015402
OR
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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