DELTA DRUGS OF PORT SULPHUR LLC
NPI: 1336297381
· PORT SULPHUR, LA 70083
· Community/Retail Pharmacy
· NPI assigned 01/08/2007
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LE, BROOKE (PHARMACIST/OWNER/MGR) |
| NPI Enumeration Date | 01/08/2007 |
Related Entities
Other providers sharing the same authorized official: LE, BROOKE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
372 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 0012A |
|
126 |
126 |
$0.00 |
| 0011A |
|
177 |
176 |
$0.00 |
| 0013A |
|
69 |
69 |
$0.00 |