DIFFERX PHARMACY LLC
NPI: 1982109880
· JERSEY CITY, NJ 07307
· Community/Retail Pharmacy
· NPI assigned 03/24/2018
$975.25
Total Medicaid Paid
Provider Details
| Authorized Official | HUYNH, JUSTIN (PRESIDENT) |
| NPI Enumeration Date | 03/24/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
19 |
$975.25 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
19 |
18 |
$975.25 |