NPI: 1811400203 · COLERAIN, NC 27924 · Community/Retail Pharmacy · NPI assigned 11/08/2017
| Authorized Official | SAWYER, ROBBIE (PHARMACY MANAGER) |
| NPI Enumeration Date | 11/08/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 32 | $272.32 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 32 | 32 | $272.32 |