Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ALFONSO PHARMACY LLC

NPI: 1306341110 · SLIDELL, LA 70458 · Community/Retail Pharmacy · NPI assigned 03/26/2018

$0.00
Total Medicaid Paid
71
Total Claims
71
Beneficiaries
2
Codes Billed
2021-02
First Month
2021-04
Last Month

Provider Details

Authorized OfficialALFONSO, BRADLEY (OWNER)
NPI Enumeration Date03/26/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 71 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 38 38 $0.00
0011A 33 33 $0.00