PRIMECARE PHARMACY INC
NPI: 1316059231
· LOS ANGELES, CA 90005
· Durable Medical Equipment & Medical Supplies
· NPI assigned 08/31/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, JULIE (CEO) |
| NPI Enumeration Date | 08/31/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
53 |
$0.00 |
| 2024 |
30 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91322 |
|
17 |
17 |
$0.00 |
| 91304 |
|
18 |
18 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 90480 |
|
36 |
36 |
$0.00 |