NEW JERSEY CVS PHARMACY LLC
NPI: 1508958075
· WOODBRIDGE, NJ 07095
· 3336C0003X
$16.94
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
35 |
$16.94 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
17 |
17 |
$16.94 |
| 0002A |
|
18 |
18 |
$0.00 |