DAVIS DRUG STORE INC
NPI: 1598060659
· HIGHLAND, AR 72542
· Durable Medical Equipment & Medical Supplies
· NPI assigned 01/21/2011
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, ANDREA (PRESIDENT) |
| NPI Enumeration Date | 01/21/2011 |
Related Entities
Other providers sharing the same authorized official: DAVIS, ANDREA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
160 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
87 |
86 |
$0.00 |
| 0012A |
|
73 |
73 |
$0.00 |