NPI 1194760629

Fred Meyer Stores INC

Organisation Community/Retail Pharmacy Kirkland, WA

Practice location

Address: 12221 120th Ave NE, Kirkland, WA 98034-6905
Phone: (425) 820-3233
Fax: (425) 820-3238
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 CF00002197 (WA)

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1194760629
Entity type: Organization
NPI issued: 18 Jun 2006
Record last updated: 16 May 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.