PROFESSIONAL RX INC
NPI: 1013905678
· WESTMINSTER, CA 92683
· Community/Retail Pharmacy
· NPI assigned 10/07/2005
$281.87
Total Medicaid Paid
Provider Details
| Authorized Official | LE, DENISE (PRESIDENT/CEO/CFO/DIRECTOR) |
| NPI Enumeration Date | 10/07/2005 |
Related Entities
Other providers sharing the same authorized official: LE, DENISE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
40 |
$281.87 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
26 |
25 |
$264.27 |
| A4259 |
Lancets, per box of 100 |
14 |
13 |
$17.60 |