Based on public Medicaid payment data.
Mountain Street Pharmacy Inc
Medicaid Provider in Kings Mountain, NC
Type
Organization
Address
709 W Mountain St
Kings Mountain, NC 280862711
Phone
7047397225
NPI
1447316716
Procedures
1
Total Claims
16
Patients Served
15
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 | $0.00 | 16 | 15 |
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