THEATRE PHARMACY COMPANY INC.
NPI: 1740804525
· LEXINGTON, MA 02420
· Community/Retail Pharmacy
· NPI assigned 06/08/2020
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | DINNO, SAAD (PRESIDENT/PHARMACIST) |
| NPI Enumeration Date | 06/08/2020 |
Related Entities
Other providers sharing the same authorized official: DINNO, SAAD
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 |
Administration of influenza virus vaccine |
39 |
39 |
$0.00 |
| 0134A |
|
13 |
13 |
$0.00 |