REALO DISCOUNT DRUG STORES OF JOHNSTON COUNTY, INC
NPI: 1154483220
· SMITHFIELD, NC 27577
· Community/Retail Pharmacy
· NPI assigned 12/15/2006
Provider Details
| Authorized Official | LEQUIRE, MITCHELL (PHARMACIST-MANAGER) |
| NPI Enumeration Date | 12/15/2006 |
Related Entities
Other providers sharing the same authorized official: LEQUIRE, MITCHELL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
213 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
44 |
40 |
$3K |
| 0011A |
|
64 |
53 |
$2K |
| 91301 |
|
89 |
73 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
15 |
$0.00 |