ANAWAN PHARMACY LLC
NPI: 1235580887
· REHOBOTH, MA 02769
· Pharmacy
· NPI assigned 06/24/2016
$139.23
Total Medicaid Paid
Provider Details
| Authorized Official | PLOUDE, RICHARD (OWNER/MANAGER/AO) |
| NPI Enumeration Date | 06/24/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
39 |
$139.23 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90694 |
|
14 |
13 |
$139.23 |
| G0008 |
Administration of influenza virus vaccine |
25 |
24 |
$0.00 |