NPI: 1043504574 · DICKINSON, ND 58601 · Pharmacy · NPI assigned 06/01/2011
| Authorized Official | OLLERMAN, BRANDI (OWNER) |
| NPI Enumeration Date | 06/01/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 152 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 91322 | 35 | 23 | $784.20 | |
| 90661 | 47 | 32 | $403.38 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 29 | 12 | $184.87 |
| 90480 | 17 | 17 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 24 | 24 | $0.00 |