GEMSTATE PHARMACY GROUP INC
NPI: 1053742577
· MERIDIAN, ID 83642
· Pharmacy
· NPI assigned 12/09/2013
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WHITNEY, BLAIR (GREFFIER) |
| NPI Enumeration Date | 12/09/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
96 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90688 |
|
48 |
48 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
48 |
48 |
$0.00 |