BLUEGRASS DRUG STORE PLLC
NPI: 1285900860
· DANVILLE, KY 40422
· Community/Retail Pharmacy
· NPI assigned 03/28/2012
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | TAYLOR, MARK (CO-OWNER/PIC) |
| NPI Enumeration Date | 03/28/2012 |
Related Entities
Other providers sharing the same authorized official: TAYLOR, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
29 |
$0.00 |
| 2022 |
29 |
$0.00 |
| 2023 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$0.00 |
| 90674 |
|
26 |
26 |
$0.00 |