1255662839 NPI number — FRED MEYER DBA QUALITY FOOD CENTERS

Table of content: (NPI 1255662839)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255662839 NPI number — FRED MEYER DBA QUALITY FOOD CENTERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRED MEYER DBA QUALITY FOOD CENTERS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255662839
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/21/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
417 BROADWAY E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98102-5009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-323-6586
Provider Business Mailing Address Fax Number:
206-328-6960

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10116 NE 8TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98004-4148
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-990-5641
Provider Business Practice Location Address Fax Number:
425-990-2444
Provider Enumeration Date:
01/21/2010

Additional Information

Authorized Official

Authorized Official Last Name:
PAULSEN
Authorized Official First Name:
CHUCK
Authorized Official Middle Name:
Authorized Official Title or Position:
SENIOR DIRECTOR OF PHARMACY
Authorized Official Telephone Number:
425-990-5641

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  CF58090 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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