HOMETOWN PHARMACY LLC
NPI: 1982050670
· RALEIGH, NC 27603
· Pharmacy
· NPI assigned 05/11/2016
$792.29
Total Medicaid Paid
Provider Details
| Authorized Official | HUYNH, CHI TRUNG (OWNER-MANAGER) |
| NPI Enumeration Date | 05/11/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
52 |
$792.29 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0031A |
|
26 |
24 |
$792.29 |
| 91303 |
|
26 |
24 |
$0.00 |