MERCERVILLE PHARMACY LLC
NPI: 1730544255
· MERCERVILLE, NJ 08619
· Pharmacy
· NPI assigned 12/29/2015
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | PADIA, RIMA (PHARMACIST INCHARGE) |
| NPI Enumeration Date | 12/29/2015 |
Related Entities
Other providers sharing the same authorized official: PADIA, RIMA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$0.00 |
| 2022 |
12 |
$0.00 |
| 2023 |
42 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0009 |
Administration of pneumococcal vaccine |
21 |
20 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 90677 |
|
21 |
20 |
$0.00 |
| 0003A |
|
12 |
12 |
$0.00 |