FRED MEYER STORES INC.
NPI: 1366772451
· SEATTLE, WA 98155
· Community/Retail Pharmacy
· NPI assigned 01/12/2010
$900.00
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 01/12/2010 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
324 |
$312.00 |
| 2019 |
233 |
$588.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
557 |
557 |
$900.00 |