SUPER FARMACIA LIZETTE, INC
NPI: 1679506125
· JAYUYA, PR 00664
· Pharmacy
· NPI assigned 07/08/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
160 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90670 |
|
15 |
15 |
$2K |
| 90686 |
|
65 |
65 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
65 |
65 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
15 |
$0.00 |