Fred Meyer Stores INC
Pharmacy, Community/Retail Pharmacy in Eagle River, AK. Organization (NPI-2).
NPI number1013952548
StatusActive
Last updated in NPPESApr 22, 2025
Details
- NPI
- 1013952548
- Entity type
- Organization (NPI-2)
- Legal business name
- Fred Meyer Stores INC
- Organization subpart
- No
- Enumeration date
- Jun 18, 2006
- Certification date
- Apr 22, 2025
- Last updated
- Apr 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | AK384 | AK | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – | |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – |
Other names
- Fred Meyer Pharmacy (Doing Business As)
Practice location
13401 Old Glenn HwyEagle River, AK 99577-7565
Phone 907-689-4033 · Fax 833-874-1871
Mailing address
Po Box 842772Boston, MA 02284-2772
Phone 513-762-1019 · Fax 513-762-1092
Authorized official
Allison Muennich
Manager Of Pharmacy Licensing
5137621019
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