NORTH CAROLINA CVS PHARMACY LLC
NPI: 1972795623
· HENDERSONVILLE, NC 28792
· 332B00000X
$397.46
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
93 |
$397.46 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
19 |
19 |
$397.46 |
| 91301 |
|
74 |
70 |
$0.00 |