EDEN DRUG, INC.
NPI: 1740246677
· EDEN, NC 27288
· Community/Retail Pharmacy
· NPI assigned 04/20/2006
Provider Details
| Authorized Official | CROUCH, ROBERT (PRESIDENT, PHARMACIST) |
| NPI Enumeration Date | 04/20/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$341.44 |
| 2020 |
28 |
$350.02 |
| 2021 |
380 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
128 |
100 |
$5K |
| 0012A |
|
66 |
59 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
25 |
$299.97 |
| 90688 |
|
14 |
12 |
$196.35 |
| 90686 |
|
14 |
13 |
$195.14 |
| 91301 |
|
186 |
134 |
$0.00 |