ATLANTIS PHARMACY RX LLC
NPI: 1891104543
· ATLANTIS, FL 33462
· Community/Retail Pharmacy
· NPI assigned 08/07/2014
$80.00
Total Medicaid Paid
Provider Details
| Authorized Official | SIMMONS, DAMIEN (OWNER/PHARMACY MANAGER) |
| NPI Enumeration Date | 08/07/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
15 |
$0.00 |
| 2021 |
20 |
$80.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
20 |
19 |
$80.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
12 |
$0.00 |