CENTENNIAL PHARMACY SERVICES INCORPORATED
NPI: 1053881573
· PHILADELPHIA, PA 19125
· Community/Retail Pharmacy
· NPI assigned 11/27/2018
$35.49
Total Medicaid Paid
Provider Details
| Authorized Official | DYMOWSKI, JOSEPH (CEO/ PHARMACIST) |
| NPI Enumeration Date | 11/27/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
20 |
$35.49 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
20 |
$35.49 |