NUDAK VENTURES, LLC
NPI: 1255364469
· LENOX, IA 50851
· Long Term Care Pharmacy
· NPI assigned 07/09/2006
$590.66
Total Medicaid Paid
Provider Details
| Authorized Official | WILLIS, LORI ANN (ACQUISITIONS MANAGER) |
| NPI Enumeration Date | 07/09/2006 |
Related Entities
Other providers sharing the same authorized official: WILLIS, LORI ANN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
30 |
$590.66 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
14 |
14 |
$384.00 |
| 0011A |
|
16 |
16 |
$206.66 |