NPI: 1235570334 · LITTLE ROCK, AR 72207 · Pharmacy · NPI assigned 07/17/2013
| Authorized Official | PACE, ANNE (OWNER PIC) |
| NPI Enumeration Date | 07/17/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,146 | $47K |
| 2022 | 85 | $3K |
| 2024 | 67 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 590 | 552 | $18K | |
| 0001A | 668 | 612 | $13K | |
| 0071A | 101 | 94 | $9K | |
| 0072A | 65 | 64 | $6K | |
| 0003A | 65 | 58 | $2K | |
| 0031A | 78 | 74 | $760.00 | |
| 0124A | 18 | 17 | $560.00 | |
| 0064A | 32 | 26 | $200.00 | |
| 91300 | 535 | 438 | $4.22 | |
| 91312 | 17 | 16 | $0.14 | |
| G0008 | Administration of influenza virus vaccine | 20 | 17 | $0.00 |
| 91303 | 34 | 32 | $0.00 | |
| 90480 | 16 | 15 | $0.00 | |
| 90656 | 18 | 15 | $0.00 | |
| 91322 | 13 | 12 | $0.00 | |
| 0004A | 28 | 27 | $0.00 |