FORT LEE PHARMACY & SURGICAL INC
NPI: 1922110923
· FORT LEE, NJ 07024
· Pharmacy
· NPI assigned 08/31/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | JO, MYEONGHA (PRESIDENT) |
| NPI Enumeration Date | 08/31/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
71 |
$0.00 |
| 2023 |
14 |
$0.00 |
| 2024 |
41 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$0.00 |
| 90480 |
|
13 |
13 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
39 |
20 |
$0.00 |
| 90662 |
|
30 |
30 |
$0.00 |