MAAG PRESCRIPTION CENTER LLC
NPI: 1972633915
· POCATELLO, ID 83204
· Compounding Pharmacy
· NPI assigned 03/07/2007
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MAAG, KATHLEEN (CFO/OWNER) |
| NPI Enumeration Date | 03/07/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
82 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G0008 |
Administration of influenza virus vaccine |
64 |
64 |
$0.00 |
| 90686 |
|
18 |
18 |
$0.00 |