MILEY MEDS PHARMACY LLC
NPI: 1023591799
· PEARL RIVER, LA 70452
· Community/Retail Pharmacy
· NPI assigned 09/10/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MILEY, CLARENCE (OWNER/PIC) |
| NPI Enumeration Date | 09/10/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
140 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
58 |
58 |
$0.00 |
| 0064A |
|
17 |
17 |
$0.00 |
| 0012A |
|
65 |
65 |
$0.00 |