SUNNY PHARMACY LLC
NPI: 1053783563
· LANSDOWNE, PA 19050
· Community/Retail Pharmacy
· NPI assigned 10/23/2015
$645.00
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, CHIRAG (PHARMACY MANAGER) |
| NPI Enumeration Date | 10/23/2015 |
Related Entities
Other providers sharing the same authorized official: PATEL, CHIRAG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
46 |
$645.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90656 |
|
22 |
22 |
$447.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$198.00 |