WEIS MARKETS INC
NPI: 1629001961
· MARTINSBURG, WV 25401
· Pharmacy
· NPI assigned 07/09/2006
$918.30
Total Medicaid Paid
Provider Details
| Authorized Official | MALTESE, JEFFERY (VICE PRESIDENT PHARMACY) |
| NPI Enumeration Date | 07/09/2006 |
Related Entities
Other providers sharing the same authorized official: MALTESE, JEFFERY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
33 |
$918.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G0008 |
Administration of influenza virus vaccine |
21 |
21 |
$694.50 |
| 90686 |
|
12 |
12 |
$223.80 |