Fred Meyer Stores INC

NPI #1740225275 in Pocatello, Idaho

Provider Information

NPI Number
1740225275
Entity Type
Organization
Organization Name
Fred Meyer Stores INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 18, 2006
Last Updated
Aug 12, 2016

Practice Location

Address
800 YELLOWSTONE AVE
State
Idaho
ZIP Code
83201-4433
Phone
(208) 239-4033

Authorized Official

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

Specialties & Taxonomy Codes

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

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