FREDS STORES OF TENNESSEE INC.
NPI: 1104235316
· MORGANTOWN, KY 42261
· Community/Retail Pharmacy
· NPI assigned 08/13/2014
$80.97
Total Medicaid Paid
Provider Details
| Authorized Official | KULKARNI, RAHUL (SVP OF FINANCE) |
| Parent Organization | FREDS INC. |
| NPI Enumeration Date | 08/13/2014 |
Related Entities
Other providers sharing the same authorized official: KULKARNI, RAHUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
24 |
$80.97 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
24 |
24 |
$80.97 |