NPI 1366827834
Fred Meyer Pharmacy
Practice location
- Address
- 301 E Wallace Kneeland Blvd, Shelton, WA 98584-2985
- Phone
- (702) 460-4364
- Mailing address
- 1530 15th Ave Unit 511, Seattle, WA 98122-3981
Authorised official
- Name
- Ivo Mirtchev
- Title
- Pharmacist
- Phone
- (702) 460-4364
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1366827834
- Entity type
- Organization
- NPI issued
- 27 Jul 2015
- Record last updated
- 27 Jul 2015
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.