FRED MEYER STORES INC
NPI: 1295770725
· WASILLA, AK 99654
· Pharmacy
· NPI assigned 06/18/2006
$627.70
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 |
| 2018 |
39 |
$161.63 |
| 2019 |
86 |
$385.54 |
| 2020 |
37 |
$63.89 |
| 2021 |
27 |
$0.00 |
| 2022 |
85 |
$16.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
274 |
258 |
$627.70 |