NPI: 1629141148 · INDIANAPOLIS, IN 46236 · Pharmacy · NPI assigned 11/15/2006
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 11/15/2006 |
Other providers sharing the same authorized official: MUENNICH, ALLISON
| Provider | City | State | Total Paid |
|---|---|---|---|
| SMITHS FOOD & DRUG CENTERS INC | PHOENIX | AZ | $685K |
| FRED MEYER STORES INC | LONGVIEW | WA | $68.23 |
| FRED MEYER STORES INC | LYNNWOOD | WA | $4.99 |
| FRED MEYER STORES INC | FLORENCE | OR | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 17 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 17 | 17 | $0.00 |