Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› NOOKSACK VALLEY DRUG STORE LLC
NOOKSACK VALLEY DRUG STORE LLC
NPI: 1184764458 · EVERSON, WA 98247 ·
3336C0003X
$0.00
Total Medicaid Paid
63
Total Claims
49
Beneficiaries
1
Codes Billed
2019-09
First Month
2019-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
63
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
T1999
Noc retail items andsupplies
63
49
$0.00