PREMIER PHARMACY INC
NPI: 1437456084
· NEWLAND, NC 28657
· Pharmacy
· NPI assigned 02/17/2011
$66.50
Total Medicaid Paid
Provider Details
| Authorized Official | DEAN, CLARENCE (PRESIDENT) |
| NPI Enumeration Date | 02/17/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$66.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$66.50 |
| 90686 |
|
14 |
12 |
$0.00 |