ROLSETH DRUG CO
NPI: 1336174853
· LINDSTROM, MN 55045
· Pharmacist
· NPI assigned 07/12/2006
$15.86
Total Medicaid Paid
Provider Details
| Authorized Official | GARRISON, MATTHEW (PIC) |
| Parent Organization | ROLSETH DRUG CO |
| NPI Enumeration Date | 07/12/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
28 |
$15.86 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$15.86 |
| 90480 |
|
15 |
15 |
$0.00 |