NPI: 1710934369 · LAWRENCE, KS 66046 · Pharmacy · NPI assigned 05/28/2006
| Authorized Official | WILLITS, TAMARA (CO OWNER) |
| NPI Enumeration Date | 05/28/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 457 | $2K |
| 2022 | 580 | $2K |
| 2023 | 406 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 91322 | 135 | 133 | $2K | |
| 0003A | 273 | 270 | $2K | |
| 0124A | 221 | 221 | $1K | |
| 90480 | 132 | 132 | $274.96 | |
| 0004A | 124 | 121 | $251.60 | |
| 90662 | 118 | 118 | $69.94 | |
| 90688 | 53 | 53 | $59.73 | |
| 0011A | 17 | 16 | $40.00 | |
| G0009 | Administration of pneumococcal vaccine | 18 | 18 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 244 | 244 | $0.00 |
| 90694 | 58 | 58 | $0.00 | |
| 90686 | 20 | 20 | $0.00 | |
| 90677 | 18 | 18 | $0.00 | |
| 0013A | 12 | 12 | $0.00 |