ST. MARYS PHARMACY INC
NPI: 1083123236
· BROOKVILLE, PA 15825
· Customized Equipment (DME)
· NPI assigned 09/20/2017
$9.74
Total Medicaid Paid
Provider Details
| Authorized Official | MURRAY, LEWIS (DIRECTOR OF HME) |
| NPI Enumeration Date | 09/20/2017 |
Related Entities
Other providers sharing the same authorized official: MURRAY, LEWIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$9.74 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7038 |
Filter, disposable, used with positive airway pressure device |
13 |
12 |
$9.74 |