CORNERSTONE PHARMACY LAKEWOOD, LLC
NPI: 1689927782
· NORTH LITTLE ROCK, AR 72116
· Community/Retail Pharmacy
· NPI assigned 10/26/2012
$80.00
Total Medicaid Paid
Provider Details
| Authorized Official | HARRISON, KENNY (MANAGING PARTNER) |
| NPI Enumeration Date | 10/26/2012 |
Related Entities
Other providers sharing the same authorized official: HARRISON, KENNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
29 |
$80.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
29 |
29 |
$80.00 |