NPI: 1710081682 · FORT WALTON BEACH, FL 32547 · Community/Retail Pharmacy · NPI assigned 09/12/2006
| Authorized Official | VANDERBRUG, PATRICIA (PHCY ENROLLMENTS REPRESENTATIVE) |
| NPI Enumeration Date | 09/12/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 14 | $0.00 |
| 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 |