WILSON PHARMACY, INC
NPI: 1720247885
· JOHNSON CITY, TN 37604
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/04/2008
$841.80
Total Medicaid Paid
Provider Details
| Authorized Official | AUSTIN, LISA (AVP REIMBURSEMENT) |
| NPI Enumeration Date | 06/04/2008 |
Related Entities
Other providers sharing the same authorized official: AUSTIN, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$841.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
25 |
13 |
$841.80 |