Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fred Meyer Pharmacy

Organization Community/Retail Pharmacy · NPI 1366827834

Fred Meyer Pharmacy is a Community/Retail Pharmacy in Shelton, Washington. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015

Practice location Address checks out

301 E Wallace Kneeland Blvd
Shelton, WA 98584-2985
Phone: (702) 460-4364
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 60546634 (WA)

Record details

NPI number1366827834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivo Mirtchev — Pharmacist · (702) 460-4364
NPI enumeratedJuly 27, 2015
Last updated in NPPESJuly 27, 2015
Mailing address1530 15th Ave Unit 511, Seattle, WA 98122-3981

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