Organization
FRED MEYER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN CHUN (PHARMACIST)
(808) 585-1193
Entity
Organization
Contact information
Practice address
2200 BASELINE ST, CORNELIUS, OR 97113-8618
(503) 359-3103
(503) 359-3341
Mailing address
2200 BASELINE ST, CORNELIUS, OR 97113-8618
(503) 359-3103
(503) 359-3341
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
RPH-0015554
OR
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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