VIRGINIA CVS PHARMACY LLC
NPI: 1891898532
· SALEM, VA 24153
· 3336C0003X
$16.94
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
240 |
$16.94 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
136 |
125 |
$16.94 |
| 0002A |
|
104 |
104 |
$0.00 |