Whalio Doctors

NPI 1003852641

Fred Meyer Stores INC

Organisation Community/Retail Pharmacy Shelton, WA

Practice location

Address
301 E Wallace Kneeland Blvd, Shelton, WA 98584-2985
Phone
(360) 432-5373
Fax
(360) 432-5367
Mailing address
PO Box 842772, Boston, MA 02284-2772

Authorised official

Name
Allison Muennich
Title
Manager of Pharmacy Licensing
Phone
(513) 762-1019

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence CF00056136 (WA)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1003852641
Entity type
Organization
NPI issued
21 Jun 2006
Record last updated
29 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.