Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › ROWLAND HEIGHTS › FRESH RX LLC

FRESH RX LLC

NPI: 1194369777 · ROWLAND HEIGHTS, CA 91748 · Community/Retail Pharmacy · NPI assigned 11/06/2019

$0.00
Total Medicaid Paid
32
Total Claims
32
Beneficiaries
2
Codes Billed
2023-10
First Month
2023-10
Last Month

Provider Details

Authorized OfficialTHURA, ZAW (OWNER)
NPI Enumeration Date11/06/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 32 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 16 16 $0.00
90480 16 16 $0.00