Organization
FRED MEYER STORES INC
Active
Other names
FRED MEYER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
6305 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98467-5117
(253) 460-4033
(253) 460-4027
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00056555
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110721
PK
—
05
—
6022818
—
WA
Enumeration date
06/21/2006
Last updated
06/29/2016
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