PALM RX PHARMACY LLC
NPI: 1629413737
· WINTER HAVEN, FL 33880
· Pharmacy
· NPI assigned 05/02/2013
$344.45
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, ALPESH (OWNER) |
| NPI Enumeration Date | 05/02/2013 |
Related Entities
Other providers sharing the same authorized official: PATEL, ALPESH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
68 |
$344.45 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
53 |
40 |
$325.05 |
| A4259 |
Lancets, per box of 100 |
15 |
12 |
$19.40 |