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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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