WAL-MART STORES EAST LP
NPI: 1629095955
· STANFORD, KY 40484
· Pharmacy
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
150 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
56 |
55 |
$0.00 |
| 0064A |
|
41 |
41 |
$0.00 |
| 0011A |
|
53 |
53 |
$0.00 |