PONTCHARTRAIN PHARMACY, LLC
NPI: 1134116742
· MANDEVILLE, LA 70448
· Long Term Care Pharmacy
· NPI assigned 09/29/2005
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEACH, MARY LYNN (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 09/29/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
299 |
$0.00 |
| 2022 |
266 |
$0.00 |
| 2023 |
97 |
$0.00 |
| 2024 |
81 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
32 |
32 |
$0.00 |
| 0094A |
|
122 |
122 |
$0.00 |
| 0064A |
|
270 |
270 |
$0.00 |
| 0134A |
|
176 |
176 |
$0.00 |
| 0012A |
|
19 |
19 |
$0.00 |
| 91322 |
|
107 |
107 |
$0.00 |
| 0124A |
|
17 |
17 |
$0.00 |