Fred Meyer Stores INC
NPI #1740401272 in Covington, Washington
Provider Information
- NPI Number
- 1740401272
- Entity Type
- Organization
- Organization Name
- Fred Meyer Stores INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 1, 2007
- Last Updated
- Jul 14, 2009
Practice Location
- Address
- 17411 SE 272ND ST
- City
- Covington
- State
- Washington
- ZIP Code
- 98042-5311
- Phone
- (253) 631-1200
Authorized Official
- Name
- MATT MINEER
- Title
- INTERFACE MANAGER
- Phone
- (513) 387-7074
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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