TOMMYS REXALL DRUG COMPANY INC
NPI: 1396882122
· DE WITT, AR 72042
· Durable Medical Equipment & Medical Supplies
· NPI assigned 01/31/2007
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BLACK, TOMMY (OWNER) |
| NPI Enumeration Date | 01/31/2007 |
Related Entities
Other providers sharing the same authorized official: BLACK, TOMMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
45 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
27 |
27 |
$0.00 |
| 0012A |
|
18 |
18 |
$0.00 |