FREDS STORES OF TENNESSEE INC
NPI: 1043242084
· ROLLING FORK, MS 39159
· Pharmacy
· NPI assigned 07/07/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | KULKARNI, RAHUL (SVP OF FINANCE) |
| Parent Organization | FREDS INC |
| NPI Enumeration Date | 07/07/2006 |
Related Entities
Other providers sharing the same authorized official: KULKARNI, RAHUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
296 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
266 |
155 |
$0.00 |
| A4259 |
Lancets, per box of 100 |
30 |
15 |
$0.00 |