TAI TUNG PHARMACY INC
NPI: 1619982253
· BOSTON, MA 02111
· Pharmacy
· NPI assigned 07/30/2006
$600.00
Total Medicaid Paid
Provider Details
| Authorized Official | CHAU, EVA (OWNER/MANAGER OF RECORD) |
| NPI Enumeration Date | 07/30/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
16 |
$0.00 |
| 2021 |
171 |
$600.00 |
| 2022 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 0012A |
|
86 |
67 |
$320.00 |
| 0011A |
|
72 |
69 |
$280.00 |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$0.00 |