FRED MEYER STORES INC
NPI: 1003852641
· SHELTON, WA 98584
· Pharmacy
· NPI assigned 06/21/2006
$33.28
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/21/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
13 |
$3.33 |
| 2019 |
55 |
$28.29 |
| 2020 |
14 |
$1.66 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
82 |
78 |
$33.28 |