FRED MEYER STORES INC
NPI: 1104861632
· ANCHORAGE, AK 99507
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/18/2006
$321.45
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/18/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
25 |
$314.79 |
| 2020 |
13 |
$6.66 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
38 |
38 |
$321.45 |