PROFESSIONAL PLAZA PHARMACY INC
NPI: 1396801270
· GRETNA, LA 70056
· Pharmacy
· NPI assigned 12/28/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LE, BROOKE (OWNER) |
| NPI Enumeration Date | 12/28/2006 |
Related Entities
Other providers sharing the same authorized official: LE, BROOKE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
173 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
18 |
18 |
$0.00 |
| 0011A |
|
67 |
66 |
$0.00 |
| 0012A |
|
73 |
72 |
$0.00 |
| 0013A |
|
15 |
15 |
$0.00 |