Fred Meyer Stores INC
Pharmacy, Community/Retail Pharmacy in Portland, OR. Organization (NPI-2).
NPI number1194761007
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1194761007
- Entity type
- Organization (NPI-2)
- Legal business name
- Fred Meyer Stores INC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2006
- Last updated
- Sep 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | RP0000059CS | OR | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Fred Meyer Pharmacy (Doing Business As)
Practice location
7404 N Interstate AvePortland, OR 97217-5528
Phone 503-286-6784 · Fax 503-286-6792
Mailing address
P.O. Box 842772Boston, MA 02284
Phone 513-762-1019 · Fax 513-762-1092
Authorized official
Allison Muennich
Manager Of Pharmacy Licensing
5137621019
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All 118 Community/Retail Pharmacy providers in Portland · All 48,847 providers in Portland
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