FRED MEYER STORES INC
NPI: 1659314862
· LONGVIEW, WA 98632
· Pharmacy
· NPI assigned 06/14/2006
$68.23
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/14/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
60 |
$43.26 |
| 2019 |
13 |
$24.97 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
73 |
71 |
$68.23 |