ESSENTIALRX
NPI: 1417394925
· WORCESTER, MA 01608
· Community/Retail Pharmacy
· NPI assigned 05/24/2013
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SAM, KERRY (PHARMACY MANAGER) |
| NPI Enumeration Date | 05/24/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
62 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90685 |
|
16 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
46 |
46 |
$0.00 |