PARKSIDE PHARMACY INC
NPI: 1730264946
· BUFFALO, NY 14212
· Community/Retail Pharmacy
· NPI assigned 10/26/2006
$234.47
Total Medicaid Paid
Provider Details
| Authorized Official | JAY, GREGORY (PRESIDENT) |
| NPI Enumeration Date | 10/26/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
68 |
$234.47 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4259 |
Lancets, per box of 100 |
40 |
37 |
$195.85 |
| A4245 |
Alcohol wipes, per box |
28 |
27 |
$38.62 |