SOUTHERN VILLAGE PHARMACY INC
NPI: 1033456371
· CHAPEL HILL, NC 27516
· 333600000X
$715.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
25 |
$715.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
12 |
12 |
$715.00 |
| 91300 |
|
13 |
12 |
$0.00 |