Organization
FRED MEYER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL R COFFEY (PHARMACY MANAGER)
(503) 280-1333
Entity
Organization
Contact information
Practice address
3030 NE WEIDLER ST, PORTLAND, OR 97232-1851
(503) 280-1333
(503) 233-1327
Mailing address
3030 NE WEIDLER ST, PORTLAND, OR 97232-1851
(503) 280-1333
(503) 233-1327
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
RPH-0014163
OR
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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