FRED MEYER STORES INC
NPI: 1629528344
· HAPPY VALLEY, OR 97015
· Durable Medical Equipment & Medical Supplies
· NPI assigned 10/05/2016
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 10/05/2016 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
13 |
12 |
$0.00 |