Organization
KROGER
Active
Other names
Fred Meyer Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIEU MINH NGUYEN PHARM.D. (PHARMACIST)
(971) 570-5390
Entity
Organization
Contact information
Practice address
7404 N INTERSTATE AVE, PORTLAND, OR 97217-5528
(503) 286-6784
Mailing address
7404 N INTERSTATE AVE, PORTLAND, OR 97217-5528
(971) 570-5390
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0015733
OR
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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