ABERDEEN MEDICAL CENTER PHARMACY, INC
NPI: 1174612121
· ABERDEEN, SD 57401
· Community/Retail Pharmacy
· NPI assigned 10/11/2006
$517.94
Total Medicaid Paid
Provider Details
| Authorized Official | TAFFE, DAVID (PRESIDENT) |
| Parent Organization | ABERDEEN MEDICAL CENTER PHARMACY, INC |
| NPI Enumeration Date | 10/11/2006 |
Related Entities
Other providers sharing the same authorized official: TAFFE, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
44 |
$517.94 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
22 |
21 |
$332.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
21 |
$185.82 |