ROBERTS DRUG STORE, LLC
NPI: 1811205271
· JEFFERSON CITY, MO 65109
· Long Term Care Pharmacy
· NPI assigned 09/20/2010
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | ROBERTS, KIMBERLY (PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 09/20/2010 |
Related Entities
Other providers sharing the same authorized official: ROBERTS, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
12 |
12 |
$0.00 |