MOE DRUGS LLC
NPI: 1104285907
· THREE LAKES, WI 54562
· Pharmacy
· NPI assigned 02/22/2016
Provider Details
| Authorized Official | MOE, SETH (PHARMD) |
| NPI Enumeration Date | 02/22/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
61 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
14 |
14 |
$534.24 |
| 0011A |
|
14 |
14 |
$496.08 |
| 91301 |
|
33 |
33 |
$0.00 |