NPI: 1023122009 · BREAUX BRIDGE, LA 70517 · Pharmacy · NPI assigned 08/18/2006
| Authorized Official | DAIGLE, PHIL (PHARMACIST) |
| NPI Enumeration Date | 08/18/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 54 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 54 | 50 | $0.00 |