KLINGENSMITH DRUG INC
NPI: 1073528923
· LEECHBURG, PA 15656
· Community/Retail Pharmacy
· NPI assigned 07/29/2006
$121.00
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, JAMIE (3RD PARTY BILLING ADMIN) |
| NPI Enumeration Date | 07/29/2006 |
Related Entities
Other providers sharing the same authorized official: DAVIS, JAMIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
13 |
$121.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$121.00 |