W C ROSE DRUG STORE INC
NPI: 1912986001
· WILSON, NC 27893
· Pharmacy
· NPI assigned 01/17/2006
Provider Details
| Authorized Official | ROSE, WILLIAM (PRESIDENT) |
| NPI Enumeration Date | 01/17/2006 |
Related Entities
Other providers sharing the same authorized official: ROSE, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38 |
$565.25 |
| 2021 |
48 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
12 |
12 |
$715.00 |
| 0031A |
|
12 |
12 |
$650.00 |
| 90756 |
|
19 |
19 |
$339.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$226.10 |
| 91301 |
|
12 |
12 |
$0.00 |
| 91303 |
|
12 |
12 |
$0.00 |