CITY REXALL DRUGS II INC
NPI: 1720009772
· PICAYUNE, MS 39466
· Community/Retail Pharmacy
· NPI assigned 07/22/2006
$823.74
Total Medicaid Paid
Provider Details
| Authorized Official | PISARICH, STEPHEN (PHARMACIST) |
| NPI Enumeration Date | 07/22/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
82 |
$452.88 |
| 2019 |
29 |
$70.47 |
| 2020 |
64 |
$300.39 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
175 |
170 |
$823.74 |