IPSEN PHARMACY SERVICES LLC
NPI: 1366872798
· SNOHOMISH, WA 98290
· Pharmacy
· NPI assigned 11/21/2013
$700.22
Total Medicaid Paid
Provider Details
| Authorized Official | IPSEN, DAWN (OWNER) |
| NPI Enumeration Date | 11/21/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
25 |
$700.22 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
12 |
12 |
$480.00 |
| 0011A |
|
13 |
13 |
$220.22 |