BREVARD PHARMACY LLC
NPI: 1316488281
· COCOA, FL 32927
· Durable Medical Equipment & Medical Supplies
· NPI assigned 03/13/2017
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, RAJESH (OWNER) |
| NPI Enumeration Date | 03/13/2017 |
Related Entities
Other providers sharing the same authorized official: PATEL, RAJESH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
14 |
$0.00 |
| 2023 |
25 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0004A |
|
14 |
13 |
$0.00 |
| 0134A |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |