LOURDES, LLC
NPI: 1396237475
· MANY, LA 71449
· Pharmacy
· NPI assigned 06/04/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | DUCOTE, EDMOND (OWNER) |
| NPI Enumeration Date | 06/04/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
48 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90688 |
|
24 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$0.00 |