WILLOW MINA
NPI: 1235689977
· THIBODAUX, LA 70301
· Pharmacy
· NPI assigned 10/05/2016
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, MINH (PRESIDENT) |
| NPI Enumeration Date | 10/05/2016 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, MINH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
206 |
$0.00 |
| 2022 |
39 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
25 |
25 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
14 |
14 |
$0.00 |
| 0011A |
|
49 |
48 |
$0.00 |
| 0012A |
|
59 |
59 |
$0.00 |
| 90694 |
|
40 |
33 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
41 |
34 |
$0.00 |
| 0013A |
|
17 |
17 |
$0.00 |