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Organization
SAFEWAY INC
Active
Organization
SAFEWAY INC
Active
Other names
SAFEWAY PHARMACY #1529
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNY YOST CPHT (MANAGED CARE PLAN SPECIALIST)
(925) 467-2806
Entity
Organization
Contact information
Practice address
15099 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-2830
(503) 652-5629
(503) 654-8751
Mailing address
5918 STONERIDGE MALL RD, PLEASANTON, CA 94588-3229
(925) 467-2811
(925) 467-2802
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
RP-0000227
OR
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134341
—
OR
01
—
3812270
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/02/2006
Last updated
06/12/2014
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