FRED MEYER STORES INC
NPI: 1700801347
· PORTLAND, OR 97215
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/13/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 07/13/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
19 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
19 |
18 |
$0.00 |