BROOKSHIRE GROCERY COMPANY
NPI: 1114420452
· BREAUX BRIDGE, LA 70517
· Pharmacy
· NPI assigned 03/13/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | DUCOTE, NEIL (DIRECTOR - PHARMACY OPERATIONS) |
| NPI Enumeration Date | 03/13/2018 |
Related Entities
Other providers sharing the same authorized official: DUCOTE, NEIL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
170 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
65 |
65 |
$0.00 |
| 0012A |
|
63 |
63 |
$0.00 |
| 0064A |
|
42 |
42 |
$0.00 |