CLARKSTONRX LLC
NPI: 1679569362
· CLARKSTON, MI 48346
· Community/Retail Pharmacy
· NPI assigned 09/27/2005
$193K
Total Medicaid Paid
Provider Details
| Authorized Official | NELSON, ANDREW (MEMBER) |
| NPI Enumeration Date | 09/27/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
80 |
$9K |
| 2022 |
203 |
$26K |
| 2023 |
233 |
$40K |
| 2024 |
144 |
$119K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
660 |
592 |
$193K |