REDFIELD PHARMACY MANGEMENT LLC
NPI: 1093863037
· REDFIELD, AR 72132
· Pharmacy
· NPI assigned 01/08/2007
$840.00
Total Medicaid Paid
Provider Details
| Authorized Official | ACHOR, BRANDON (MANAGING MEMBER) |
| NPI Enumeration Date | 01/08/2007 |
Related Entities
Other providers sharing the same authorized official: ACHOR, BRANDON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
117 |
$840.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0012A |
|
50 |
49 |
$440.00 |
| 0011A |
|
53 |
51 |
$400.00 |
| 0013A |
|
14 |
14 |
$0.00 |