PUBLIX SUPER MARKETS INC
NPI: 1689937005
· HIALEAH, FL 33014
· Pharmacy
· NPI assigned 06/20/2012
$88.65
Total Medicaid Paid
Provider Details
| Authorized Official | RUSK, DAIN (VP PHARMACY) |
| NPI Enumeration Date | 06/20/2012 |
Related Entities
Other providers sharing the same authorized official: RUSK, DAIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$88.65 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
12 |
12 |
$88.65 |