PRESQUE ISLE PHARMACY CO., LLC
NPI: 1770645491
· PRESQUE ISLE, ME 04769
· Community/Retail Pharmacy
· NPI assigned 12/16/2006
$524.18
Total Medicaid Paid
Provider Details
| Authorized Official | STILES, KAILEE (PHARMACIST) |
| NPI Enumeration Date | 12/16/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
64 |
$459.28 |
| 2019 |
12 |
$64.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
76 |
75 |
$524.18 |