FRED MEYER STORES INC
NPI: 1114953320
· EUGENE, OR 97402
· Pharmacy
· 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 |
| 2018 |
13 |
$0.00 |
| 2019 |
17 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G0008 |
Administration of influenza virus vaccine |
30 |
30 |
$0.00 |