Organization

Fred Meyer Stores Inc

May also be knows as Fred Meyer Pharmacy

Community/Retail Pharmacy in Puyallup, WA(View on Map)

Legal Business Name

Fred Meyer Stores Inc

Also Known As

Fred Meyer Pharmacy

NPI Number

1588600027

NPI Type

Organization

Enumeration Date

06/22/2006

Specialties

(Taxonomies)

Code

3336C0003X
332B00000X
333600000X

Primary Taxonomy

Yes
No
No

Licenses

State

Washington

License Number

CF00055812

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 842772
17404 MERIDIAN E

City

Boston
Puyallup

State

MA
WA

Postal Code

02284-2772
98375-6234

Country

US
US

Telephone Number

(513) 762-1019
(253) 445-7873

Authorized Official

Name

Allison Muennich

Title or Position

MANAGER OF PHARMACY LICENSING

Telephone Number

(513) 762-1019

Identifiers

Identifier

2110393
6019178

Identifier State

Unknown
WA

Identifier Issuer

PK
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/29/2016

Provider Address

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May also be known as Fred Meyer Pharmacy
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