Organization
FRED MEYER STORES INC.
Active
Other names
QFC West Seattle #883
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
4550 42ND AVE SW, SEATTLE, WA 98116-4225
(206) 923-6391
(206) 923-6394
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF60114789
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121677
PK
—
05
—
6032452
—
WA
Enumeration date
08/14/2009
Last updated
05/16/2016
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