ROSE CITY PHARMACY
NPI: 1275698458
· PORTLAND, OR 97220
· Pharmacy
· NPI assigned 12/27/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | CAO, WILLIAM (PRESIDENT) |
| NPI Enumeration Date | 12/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
299 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
114 |
86 |
$0.00 |
| 0064A |
|
87 |
67 |
$0.00 |
| 0012A |
|
98 |
79 |
$0.00 |