QUEENS DEVELOPMENT CORPORATION & SUBSIDIARIES
NPI: 1265098701
· EWA BEACH, HI 96706
· Community/Retail Pharmacy
· NPI assigned 05/09/2019
$218.40
Total Medicaid Paid
Provider Details
| Authorized Official | SANJUME, GAVIN (DIRECTOR) |
| NPI Enumeration Date | 05/09/2019 |
Related Entities
Other providers sharing the same authorized official: SANJUME, GAVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
76 |
$218.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0031A |
|
46 |
44 |
$218.40 |
| 0011A |
|
30 |
30 |
$0.00 |