GIBSON'S LLC
NPI: 1316306624
· MAYFIELD, KY 42066
· Pharmacy
· NPI assigned 02/15/2016
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BROWN, SAM (OWNER) |
| NPI Enumeration Date | 02/15/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
71 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 0012A |
|
30 |
30 |
$0.00 |
| 0011A |
|
23 |
23 |
$0.00 |
| 0013A |
|
18 |
18 |
$0.00 |