NPI 1225074131

Fred Meyer Stores INC

Organisation Community/Retail Pharmacy Nampa, ID

Practice location

Address: 50 2nd St S, Nampa, ID 83651-3700
Phone: (208) 465-2836
Fax: (208) 465-2833
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 1296RP (ID)

Other Pharmacy providers in Idaho →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Idaho →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1225074131
Entity type: Organization
NPI issued: 20 Jun 2006
Record last updated: 12 Aug 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.