NORTH CAROLINA CVS PHARMACY LLC
NPI: 1316040165
· MOORESVILLE, NC 28115
· 3336C0003X
$910.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
52 |
$910.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
14 |
14 |
$910.00 |
| 91301 |
|
38 |
37 |
$0.00 |