VERDUGO PLAZA PHARMACY INC
NPI: 1689848269
· ALHAMBRA, CA 91803
· Compounding Pharmacy
· NPI assigned 04/15/2008
$955.62
Total Medicaid Paid
Provider Details
| Authorized Official | WONG, LAWRENCE (PRESIDENT) |
| NPI Enumeration Date | 04/15/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
53 |
$187.55 |
| 2024 |
182 |
$768.07 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90658 |
|
60 |
60 |
$721.38 |
| 91322 |
|
63 |
63 |
$143.00 |
| 90480 |
|
53 |
53 |
$91.24 |
| 91320 |
|
44 |
44 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |