Organization
FRED MEYER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OANH NGO (PHARMACIST)
(503) 492-5033
Entity
Organization
Contact information
Practice address
22855 NE PARKLANE, WOOD VILLAGE, OR 97060
(503) 492-5033
Mailing address
22855 NE PARK LN, WOOD VILLAGE, OR 97060-2606
(503) 492-5033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10076
OR
Other
Enumeration date
09/24/2008
Last updated
08/02/2013
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