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Organization
FRED MEYER
Active
Organization
FRED MEYER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LE KAY TRANG PHARMD (PHARMACIST GRADUATE INTERN)
(503) 286-6784
Entity
Organization
Contact information
Practice address
7404 N INTERSTATE AVE, PORTLAND, OR 97217-5528
(503) 286-6784
(503) 286-6792
Mailing address
7404 N INTERSTATE AVE, PORTLAND, OR 97217-5528
(503) 286-6784
(503) 286-6792
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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