KASTAK SERVICES, L.L.C.
NPI: 1144731662
· DENHAM SPRINGS, LA 70726
· Community/Retail Pharmacy
· NPI assigned 10/24/2017
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SIMONEAUX, KILEY (OWNER/PHARMACIST) |
| NPI Enumeration Date | 10/24/2017 |
Related Entities
Other providers sharing the same authorized official: SIMONEAUX, KILEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
86 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
42 |
42 |
$0.00 |
| 0011A |
|
44 |
44 |
$0.00 |