RED RIVER PHARMACY LONG TERM CARE, LLC
NPI: 1407106578
· TEXARKANA, TX 75503
· Long Term Care Pharmacy
· NPI assigned 09/14/2012
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BOUDREAUX, DAVID (OWNER/PRESIDENT) |
| NPI Enumeration Date | 09/14/2012 |
Related Entities
Other providers sharing the same authorized official: BOUDREAUX, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
44 |
$0.00 |
| 2022 |
62 |
$0.00 |
| 2023 |
18 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0134A |
|
40 |
40 |
$0.00 |
| 0011A |
|
84 |
84 |
$0.00 |