Organization
FRED MEYER STORES INC
Active
Organization
FRED MEYER STORES INC
Active
Other names
Fred Meyer Pharmacy #691
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1263
Entity
Organization
Contact information
Practice address
5502 POINT FOSDICK DR NW, GIG HARBOR, WA 98335-1725
(253) 432-8830
(253) 432-8829
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60731259
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167328
PK
—
Enumeration date
01/19/2017
Last updated
09/19/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up