CORNERSTONE PHARMACY MAIN LLC
NPI: 1790139111
· LITTLE ROCK, AR 72206
· Pharmacy
· NPI assigned 04/21/2016
$188.39
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HARRISON, T F KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
20 |
$188.39 |
| 2022 |
49 |
$0.00 |
| 2023 |
109 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0031A |
|
20 |
16 |
$188.39 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
158 |
158 |
$0.00 |