PUBLIX NORTH CAROLINA LP
NPI: 1083163943
· HICKORY, NC 28601
· Durable Medical Equipment & Medical Supplies
· NPI assigned 10/03/2016
$172.90
Total Medicaid Paid
Provider Details
| Authorized Official | RUSK, DAIN (VP PHARMACY) |
| NPI Enumeration Date | 10/03/2016 |
Related Entities
Other providers sharing the same authorized official: RUSK, DAIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
22 |
$172.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
13 |
$172.90 |