CHICKASHA CLINIC PHARMACY LLC
NPI: 1114087350
· CHICKASHA, OK 73018
· Durable Medical Equipment & Medical Supplies
· NPI assigned 12/11/2006
$51.61
Total Medicaid Paid
Provider Details
| Authorized Official | JUSTICE, JULIE (AUTHORIZED AGENT) |
| NPI Enumeration Date | 12/11/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$51.61 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
12 |
12 |
$51.61 |