Organization
FRED MEYER STORES INC
Active
Other names
QFC PHARMACY #106
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ANDREWS (LICENSING MANAGER)
(937) 728-8628
Entity
Organization
Contact information
Practice address
515 SHERIDAN ST, PORT TOWNSEND, WA 98368-2437
(360) 385-3005
(360) 385-3880
Mailing address
PO BOX 2918, HUTCHINSON, KS 67504-2918
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
04/22/2025
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