NIELSON'S PHARMACY, INC
NPI: 1528151388
· CASTLE DALE, UT 84513
· 3336C0003X
$83.26
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
31 |
$83.26 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0031A |
|
16 |
16 |
$83.26 |
| 91303 |
|
15 |
15 |
$0.00 |