Organization · Type 2 NPI

Fred Meyer Stores Inc

Community/Retail Pharmacy · Portland, OR

NPI number 1194761007 Active

Practice location

7404 N Interstate Ave
Portland, OR 97217-5528

Call (503) 286-6784 Map

Fax (503) 286-6792

Mailing address

P.o. Box 842772
Boston, MA 02284

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003XRP0000059CS (OR)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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About NPI 1194761007

Fred Meyer Stores Inc's National Provider Identifier is 1194761007, issued on Jun 20, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Portland, OR. The record was last updated on Sep 19, 2025.