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Organization
FRED MEYER PHARMACY
Active
Organization
FRED MEYER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMRO ABU HALLAWAH R.PH. (PHARMACY MANAGER)
(253) 752-9110
Entity
Organization
Contact information
Practice address
4505 SOUTH 19TH, TACOMA, WA 98405
(253) 752-9110
(253) 756-9320
Mailing address
4505 SOUTH 19TH, TACOMA, WA 98405
(253) 752-9110
(253) 756-9320
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
PH00009951
WA
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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