JLS CONSULTING RX PC
NPI: 1275808743
· PHILOMATH, OR 97370
· Community/Retail Pharmacy
· NPI assigned 03/17/2012
$192.00
Total Medicaid Paid
Provider Details
| Authorized Official | PHAN, SETH (OWNER/PIC/MANAGER) |
| NPI Enumeration Date | 03/17/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
21 |
$192.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
21 |
16 |
$192.00 |