PHILLIPS ROCHE A CRI CLINIC PHARMACY INC
NPI: 1841261302
· FRIENDSHIP, WI 53934
· Pharmacy
· NPI assigned 01/31/2006
$379.04
Total Medicaid Paid
Provider Details
| Authorized Official | MACARDY, WAYNE (PRESIDENT) |
| NPI Enumeration Date | 01/31/2006 |
Related Entities
Other providers sharing the same authorized official: MACARDY, WAYNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
49 |
$296.64 |
| 2021 |
12 |
$82.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V5266 |
Battery for use in hearing device |
61 |
61 |
$379.04 |