HEALTH WISE AFFORDABLE PHARMACY
NPI: 1124603451
· WHARTON, TX 77488
· Community/Retail Pharmacy
· NPI assigned 03/17/2021
$787.20
Total Medicaid Paid
Provider Details
| Authorized Official | WARE, SHARDA (OFFICER) |
| NPI Enumeration Date | 03/17/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
941 |
$787.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
941 |
821 |
$787.20 |