GRAVES DRUG STORE EMPORIA INC
NPI: 1871527192
· EMPORIA, KS 66801
· Community/Retail Pharmacy
· NPI assigned 07/10/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | KOLLHOFF, JOHN (PHARMACIST/OWNER) |
| NPI Enumeration Date | 07/10/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$0.00 |
| 2021 |
16 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 0011A |
|
16 |
16 |
$0.00 |