MISSOURI LTC PHARMACY LLC
NPI: 1003327537
· BROOKLINE, MO 65619
· Geriatric Pharmacist
· NPI assigned 10/24/2017
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | CERIOTTI, JANICE (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 10/24/2017 |
Related Entities
Other providers sharing the same authorized official: CERIOTTI, JANICE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
203 |
$0.00 |
| 2022 |
305 |
$0.00 |
| 2023 |
20 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 0124A |
|
118 |
118 |
$0.00 |
| 0064A |
|
335 |
328 |
$0.00 |
| 0011A |
|
32 |
32 |
$0.00 |
| 91306 |
|
28 |
28 |
$0.00 |
| 0012A |
|
15 |
15 |
$0.00 |