Organization
FRED MEYER STORES INC
Active
Organization
FRED MEYER STORES INC
Active
Other names
QFC Pharmacy #824
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER OF LICENSING)
(513) 587-5328
Entity
Organization
Contact information
Practice address
2902 228TH AVE SE, SAMMAMISH, WA 98075-9516
(425) 369-6613
(425) 654-5030
Mailing address
PO BOX 830242, PHILADELPHIA, PA 19183-0352
(513) 762-1090
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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