Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › SHALLOTTE › JUSTICE PHARMACY,INC.

JUSTICE PHARMACY,INC.

NPI: 1689188286 · SHALLOTTE, NC 28470 · Pharmacy · NPI assigned 11/20/2017

$715.00
Total Medicaid Paid
31
Total Claims
30
Beneficiaries
2
Codes Billed
2021-04
First Month
2021-04
Last Month

Provider Details

Authorized OfficialJUSTICE, GARY (PHARMACY MANAGER/OWNER)
NPI Enumeration Date11/20/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 31 $715.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0031A 15 15 $715.00
91303 16 15 $0.00