PHPH, LLC
NPI: 1023420445
· FORREST CITY, AR 72335
· Community/Retail Pharmacy
· NPI assigned 05/21/2014
$510.27
Total Medicaid Paid
Provider Details
| Authorized Official | HARRIS, LAURA (OWNER/PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 05/21/2014 |
Related Entities
Other providers sharing the same authorized official: HARRIS, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
148 |
$209.82 |
| 2020 |
75 |
$300.45 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
31 |
31 |
$371.22 |
| G0008 |
Administration of influenza virus vaccine |
77 |
77 |
$139.05 |
| G0009 |
Administration of pneumococcal vaccine |
32 |
32 |
$0.00 |
| 90670 |
|
32 |
32 |
$0.00 |
| 90653 |
|
51 |
51 |
$0.00 |