SOUTHERN HEALTH AND WELLNESS, INC
NPI: 1184222473
· LEACHVILLE, AR 72438
· Community/Retail Pharmacy
· NPI assigned 10/09/2020
$273.88
Total Medicaid Paid
Provider Details
| Authorized Official | LOMAX, KYLE (PRESIDENT) |
| NPI Enumeration Date | 10/09/2020 |
Related Entities
Other providers sharing the same authorized official: LOMAX, KYLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
44 |
$273.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0012A |
|
14 |
13 |
$160.00 |
| 0011A |
|
30 |
29 |
$113.88 |