Organization
FRED MEYER STORES INC.
Active
Other names
QFC Pharmacy #837
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BONE (LICENSING ASP)
(513) 246-3091
Entity
Organization
Contact information
Practice address
22131 SE 237TH ST, MAPLE VALLEY, WA 98038-8533
(425) 433-2078
(425) 358-5016
Mailing address
1014 VINE ST, CINCINNATI, OH 45202-1141
(513) 246-3091
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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