FRED MEYER STORES INC
NPI: 1710922109
· NEWPORT, OR 97365
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/18/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/18/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$0.00 |
| 2024 |
39 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
13 |
12 |
$0.00 |
| 90480 |
|
14 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
24 |
$0.00 |