NOVA PHARMACY LLC
NPI: 1497042956
· ARLINGTON, VA 22205
· Compounding Pharmacy
· NPI assigned 07/06/2011
$67.00
Total Medicaid Paid
Provider Details
| Authorized Official | DO, TO-UYEN (OWNER,PIC,AO) |
| NPI Enumeration Date | 07/06/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
126 |
$67.00 |
| 2019 |
74 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90653 |
|
91 |
86 |
$51.20 |
| G0008 |
Administration of influenza virus vaccine |
109 |
104 |
$15.80 |