Fred Meyer Pharmacy
LBN: Fred Meyer Stores Inc
Fred Meyer Pharmacy is an health care organization with primary practice located at 11565 Sw Pacific Hwy , Tigard OR 97223-8845. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Fred Meyer Stores Inc can be contacted via phone (503) 293-7085, or through Muennich, Allison via phone (513) 762-1019.
Contact Information
Primary practice address
11565 Sw Pacific Hwy
Tigard OR 97223-8845
Phone: (503) 293-7085
Fax: (503) 293-7078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | RP0000079CS | Oregon |
Profile Details
| NPI number | 1063458925 |
|---|---|
| LBN Legal business name | Fred Meyer Stores Inc |
| DBA Doing business as | Fred Meyer Pharmacy |
| Authorized official | Muennich, Allison |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jun 29th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063458925 | NPPES |
| Other | 2077555 | PK | |
| MEDICAID | 064337 | PK |
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