COMPOUNDING PHARMACIES OF LOUISIANA, INC.
NPI: 1194890731
· LAFAYETTE, LA 70506
· Pharmacist
· NPI assigned 11/21/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MAYER, DAVID (PHARMACIST CO-OWNER) |
| NPI Enumeration Date | 11/21/2006 |
Related Entities
Other providers sharing the same authorized official: MAYER, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
130 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
65 |
65 |
$0.00 |
| 0011A |
|
65 |
65 |
$0.00 |