PROFESSIONAL PHARMACY LLC
NPI: 1013152198
· COLORADO SPRINGS, CO 80920
· Compounding Pharmacy
· NPI assigned 12/03/2008
Provider Details
Related Entities
Other providers sharing the same authorized official: WATERHOUSE, KEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
32 |
$651.64 |
| 2021 |
58 |
$1K |
| 2023 |
62 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90674 |
|
57 |
51 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
54 |
$1K |
| 0031A |
|
12 |
12 |
$494.16 |
| 91303 |
|
12 |
12 |
$0.10 |