WILSON WIL-SAV PHARMACY, INC
NPI: 1275868234
· BATESVILLE, AR 72501
· Durable Medical Equipment & Medical Supplies
· NPI assigned 10/08/2009
$80.00
Total Medicaid Paid
Provider Details
| Authorized Official | WILSON, LEE (PHARMACIST IN CHARGE / OWNER) |
| NPI Enumeration Date | 10/08/2009 |
Related Entities
Other providers sharing the same authorized official: WILSON, LEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
111 |
$80.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
12 |
12 |
$80.00 |
| 91301 |
|
29 |
29 |
$0.00 |
| 0012A |
|
35 |
35 |
$0.00 |
| 0011A |
|
35 |
35 |
$0.00 |