MAIN STREET PHARMACY LLC
NPI: 1144374596
· DURHAM, NC 27701
· Pharmacy
· NPI assigned 01/23/2007
$6.66
Total Medicaid Paid
Provider Details
| Authorized Official | JOSEPH, FINNY (OWNER) |
| NPI Enumeration Date | 01/23/2007 |
Related Entities
Other providers sharing the same authorized official: JOSEPH, FINNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29 |
$6.66 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
29 |
26 |
$6.66 |