GWIDT PHARMACY INC
NPI: 1407861008
· WITTENBERG, WI 54499
· Clinical Medical Laboratory
· NPI assigned 07/30/2006
Provider Details
| Authorized Official | RESCH, SHANE (PRESIDENT) |
| NPI Enumeration Date | 07/30/2006 |
Related Entities
Other providers sharing the same authorized official: RESCH, SHANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
309 |
$5K |
| 2022 |
58 |
$801.36 |
| 2024 |
12 |
$186.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
74 |
70 |
$3K |
| 0002A |
|
52 |
52 |
$2K |
| 0004A |
|
23 |
22 |
$801.36 |
| A9150 |
Non-prescription drugs |
12 |
12 |
$186.85 |
| 91300 |
|
218 |
188 |
$0.00 |