WOODMARK PHARMACY OF MASSACHUSETTS, LLC
NPI: 1750629721
· WALTHAM, MA 02451
· Long Term Care Pharmacy
· NPI assigned 01/24/2013
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | RUBIN, JEFFREY (CO- CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 01/24/2013 |
Related Entities
Other providers sharing the same authorized official: RUBIN, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
63 |
$0.00 |
| 2023 |
109 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G0009 |
Administration of pneumococcal vaccine |
67 |
67 |
$0.00 |
| 90677 |
|
105 |
105 |
$0.00 |