ECONO-MED OF WALNUT RIDGE INC
NPI: 1063948289
· WALNUT RIDGE, AR 72476
· Pharmacy
· NPI assigned 05/08/2017
Provider Details
| Authorized Official | ISHMAEL, GRETA (OWNER/AO) |
| NPI Enumeration Date | 05/08/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
175 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
95 |
86 |
$785.70 |
| 0012A |
|
60 |
52 |
$544.00 |
| 0013A |
|
20 |
19 |
$240.00 |