THEATRE PHARMACY COMPANY INC.
NPI: 1740804525
· LEXINGTON, MA 02420
· 3336C0003X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
37 |
$0.00 |
| 2022 |
50 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
35 |
35 |
$0.00 |
| G0008 |
Admin influenza virus vac |
39 |
39 |
$0.00 |
| 0134A |
|
13 |
13 |
$0.00 |