NPI: 1275671265 · JACKSONVILLE, FL 32208 · Pharmacy · NPI assigned 02/02/2007
| Authorized Official | DUANE, KEVIN (PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 02/02/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 721 | $0.00 |
| 2022 | 240 | $0.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 91301 | 43 | 41 | $0.00 | |
| 91305 | 66 | 43 | $0.00 | |
| 0012A | 15 | 15 | $0.00 | |
| 0001A | 318 | 272 | $0.00 | |
| 0051A | 70 | 44 | $0.00 | |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 54 | 51 | $0.00 |
| 0011A | 72 | 69 | $0.00 | |
| 0002A | 88 | 77 | $0.00 | |
| 91300 | 235 | 202 | $0.00 |