NUDAK VENTURES LLC
NPI: 1174682561
· WEST UNION, IA 52175
· Pharmacy
· NPI assigned 12/08/2006
Provider Details
| Authorized Official | WILLIS, LORI (ACQUISITIONS MANAGER) |
| NPI Enumeration Date | 12/08/2006 |
Related Entities
Other providers sharing the same authorized official: WILLIS, LORI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
95 |
$2K |
| 2022 |
46 |
$664.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0011A |
|
32 |
32 |
$696.90 |
| 0124A |
|
23 |
23 |
$664.00 |
| 0012A |
|
20 |
20 |
$650.34 |
| 0003A |
|
15 |
15 |
$600.00 |
| 0064A |
|
12 |
12 |
$160.00 |
| 91300 |
|
16 |
16 |
$0.00 |
| 91312 |
|
23 |
23 |
$0.00 |