Organization
FRED MEYER PHARMACY
Active
Organization
FRED MEYER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNE LOUISE KREUZER PHARM. D. (REGISTERED PHARMACIST)
12087365373
Entity
Organization
Contact information
Practice address
705 BLUE LAKES BLVD N, TWIN FALLS, ID 83301-4007
(120) 873-6537
Mailing address
705 BLUE LAKES BLVD N, TWIN FALLS, ID 83301-4007
(120) 873-6537
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
P5593
ID
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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