MISSOURI CVS PHARMACY, L.L.C.
NPI: 1104919810
· FULTON, MO 65251
· Durable Medical Equipment & Medical Supplies
· NPI assigned 10/02/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more
$200.00
Total Medicaid Paid
Provider Details
| Authorized Official | COLBERT, SUSAN (SR. DIRECTOR, PAYER RELATIONS) |
| NPI Enumeration Date | 10/02/2006 |
Related Entities
Other providers sharing the same authorized official: COLBERT, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
20 |
$200.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99606 |
|
20 |
19 |
$200.00 |