Organization
FRED MEYER STORES INC.
Active
Other names
QFC North Seattle
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1531 NE 145TH ST, SEATTLE, WA 98155-7205
(206) 366-4672
(206) 366-4674
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60136021
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006828
—
WA
01
—
2123309
PK
—
Enumeration date
01/12/2010
Last updated
10/04/2016
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