COLD MOUNTAIN PHARMACY SERVICES
NPI: 1487292967
· BLACK MOUNTAIN, NC 28711
· Compounding Pharmacy
· NPI assigned 12/16/2019
$650.00
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, TAYLOR (PHARMACIST) |
| NPI Enumeration Date | 12/16/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
52 |
$650.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
16 |
13 |
$650.00 |
| 91300 |
|
36 |
28 |
$0.00 |