PRESTIGE SPECIALTY PHARMACY LLC
NPI: 1306340955
· STERLING HEIGHTS, MI 48310
· Compounding Pharmacy
· NPI assigned 03/20/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | CYPRUS, PAUL (MEMBER) |
| NPI Enumeration Date | 03/20/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
119 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
119 |
118 |
$0.00 |