| Fred Meyer Pharmacy | |
|
4505 South 19th Tacoma WA 98405 | |
| (253) 752-9110 | |
| (253) 756-9320 |
| Full Name | Fred Meyer Pharmacy |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 4505 South 19th, Tacoma, Washington |
| Authorized Official Name and Position | Amro Abu Hallawah (PHARMACY MANAGER) |
| Authorized Official Contact | 2537529110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Meyer Pharmacy 4505 South 19th Tacoma WA 98405 Ph: (253) 752-9110 | Fred Meyer Pharmacy 4505 South 19th Tacoma WA 98405 Ph: (253) 752-9110 |
| NPI Number | 1891030300 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 12/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891030300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | PH00009951 (Washington) | Primary |
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