| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | 1689777435 | 16 | $0.00 | |
| 2 | NORTH CAROLINA CVS PHARMACY LLC | KENANSVILLE, NC | 23 | $0.00 |
| 3 | NORTH CAROLINA CVS PHARMACY LLC | HICKORY, NC | 21 | $0.00 |
| 4 | NORTH CAROLINA CVS PHARMACY LLC | SHELBY, NC | 14 | $0.00 |
| 5 | 1063515831 | 14 | $0.00 | |
| 6 | 1265535967 | 15 | $0.00 |