Fred Meyer Stores INC

NPI #1043256951 in Twin Falls, Idaho

Provider Information

NPI Number
1043256951
Entity Type
Organization
Organization Name
Fred Meyer Stores INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 20, 2006
Last Updated
Aug 12, 2016

Practice Location

Address
705 BLUE LAKES BLVD N
State
Idaho
ZIP Code
83301-4007
Phone
(208) 736-5373

Authorized Official

Name
ALLISON MUENNICH
Title
MANAGER OF PHARMACY LICENSING
Phone
(513) 762-1019

Specialties & Taxonomy Codes

Specialty
Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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