SHOPKO STORES OPERATING CO., LLC
NPI: 1629452776
· OROFINO, ID 83544
· Pharmacy
· NPI assigned 07/17/2015
$540.50
Total Medicaid Paid
Provider Details
| Authorized Official | NEUMANN, LORIE (DIR 3D PARTY CONTRACT & CA) |
| NPI Enumeration Date | 07/17/2015 |
Related Entities
Other providers sharing the same authorized official: NEUMANN, LORIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
81 |
$540.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
81 |
54 |
$540.50 |