Organization · NPI-2

Fred Meyer

Pharmacist · Wood Village, OR

NPI number1497905772
StatusActive
Last updated in NPPESAug 2, 2013

Details

NPI
1497905772
Entity type
Organization (NPI-2)
Legal business name
Fred Meyer
Organization subpart
No
Enumeration date
Sep 24, 2008
Last updated
Aug 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist10076ORYes

Practice location

22855 Ne Parklane
Wood Village, OR 97060

Phone 503-492-5033

Mailing address

22855 Ne Park Ln
Wood Village, OR 97060-2606

Phone 503-492-5033

Authorized official

Oanh Ngo
Pharmacist
5034925033

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