| NPI | 1295770725 |
|---|---|
| Doing Business As | FRED MEYER PHARMACY #653 |
| Entity Type | Organization |
| Authorized Contact | ALLISON MUENNICH Manager Of Pharmacy Licensing 513-762-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AK AK392) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-10-14 |