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Based on public Medicaid payment data.

Whitehall Pharmacy Llc

Medicaid Provider in Fairmont, WV

Type

Organization

Address

177 Middletown Rd

Fairmont, WV 265548254

Phone

3043689355

NPI

1962647719

Procedures

1

Total Claims

30

Patients Served

26

About these costs

All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.

Procedures & Average Costs

Procedure Avg. Paid Claims Patients
Vaccines & Immunizations $13.11 30 26

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