Fred Meyer Pharmacy

LBN: Fred Meyer Stores Inc
Fred Meyer Pharmacy is an health care organization with primary practice located at 5230 W Franklin Rd , Boise ID 83705-1109. 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 (208) 429-6433, or through Muennich, Allison via phone (513) 762-1019.

Contact Information

Primary practice address
5230 W Franklin Rd Boise ID 83705-1109
Phone: (208) 429-6433
Fax: (208) 429-6427
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 1634RP Idaho

Profile Details

NPI number 1376588442
LBN Legal business name Fred Meyer Stores Inc
DBA Doing business as Fred Meyer Pharmacy
Authorized official Muennich, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Aug 12th, 2016 - about 10 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 1376588442 NPPES
Idaho MEDICAID 806185900
Idaho Other 2021758
Idaho MEDICAID 806188600

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