Fred Meyer Stores Inc

LBN: Fred Meyer Stores Inc
Fred Meyer Stores Inc is an health care organization with primary practice located at 1020 S First Avenue , Coos Bay OR 97420. 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 (541) 269-4033, or through Muennich, Allison via phone (513) 762-1019.

Contact Information

Primary practice address
1020 S First Avenue Coos Bay OR 97420
Phone: (541) 269-4033
Fax: (541) 269-4034
Website:
Map and Directions
Authorized official contact:
Name: Muennich, Allison
Phone: (513) 762-1019

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RP0000926CS Oregon

Profile Details

NPI number 1023044237
LBN Legal business name Fred Meyer Stores Inc
DBA Doing business as
Authorized official Muennich, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Apr 20th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023044237 NPPES
Other 2077890 PK
MEDICAID 182555 PK
MEDICAID 209189 PK

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