P AND S PHARMACY INC OF ROGERSVILLE
NPI: 1912001975
· ROGERSVILLE, TN 37857
· Compounding Pharmacy
· NPI assigned 09/12/2006
$40.56
Total Medicaid Paid
Provider Details
| Authorized Official | PRICE, JAMES (PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 09/12/2006 |
Related Entities
Other providers sharing the same authorized official: PRICE, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$40.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
12 |
12 |
$40.56 |