PETERSON PHARMACY INC
NPI: 1144246000
· HILLSBORO, WI 54634
· Pharmacy
· NPI assigned 07/14/2006
Provider Details
| Authorized Official | DZELIL, SELMA (VP RDO) |
| NPI Enumeration Date | 07/14/2006 |
Related Entities
Other providers sharing the same authorized official: DZELIL, SELMA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
77 |
$2K |
| 2024 |
498 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9150 |
Non-prescription drugs |
416 |
346 |
$3K |
| S9430 |
Pharmacy compounding and dispensing services |
82 |
62 |
$1K |
| 0002A |
|
30 |
26 |
$915.84 |
| 0031A |
|
21 |
18 |
$686.88 |
| 0001A |
|
26 |
26 |
$389.62 |