HAYDELS DRUG STORE INC
NPI: 1104930189
· HOUMA, LA 70363
· Pharmacy
· NPI assigned 08/18/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | ROCK, ROBERT (OWNER) |
| NPI Enumeration Date | 08/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
31 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
16 |
16 |
$0.00 |
| 0012A |
|
15 |
15 |
$0.00 |