All Medicaid billing entities listing VIDRINE, JESSE (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Louisiana | 1 | $15.92 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | VIDRINE PHARMACEUTICAL GROUP, LLC | LAKE CHARLES, LA | Compounding Pharmacy | $15.92 |