HOLIDAY CVS LLC
NPI: 1710081682
· FORT WALTON BEACH, FL 32547
· Community/Retail Pharmacy
· NPI assigned 09/12/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | VANDERBRUG, PATRICIA (PHCY ENROLLMENTS REPRESENTATIVE) |
| NPI Enumeration Date | 09/12/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
14 |
13 |
$0.00 |