FRED MEYER STORES INC
NPI: 1023044237
· COOS BAY, OR 97420
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/23/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/23/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
96 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
16 |
12 |
$0.00 |
| 0012A |
|
28 |
19 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
22 |
15 |
$0.00 |
| 0011A |
|
30 |
22 |
$0.00 |