MIDWAY PHARMACY OF CLARKSON INC
NPI: 1215914866
· LEITCHFIELD, KY 42754
· Compounding Pharmacy
· NPI assigned 12/26/2005
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | RAY, TREVOR (SECRETARY) |
| NPI Enumeration Date | 12/26/2005 |
Related Entities
Other providers sharing the same authorized official: RAY, TREVOR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90688 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |