PHILLIPS TOMAH PHARMACY INC
NPI: 1447222799
· TOMAH, WI 54660
· Pharmacy
· NPI assigned 02/02/2006
$684.95
Total Medicaid Paid
Provider Details
| Authorized Official | MACARDY, WAYNE (PRESIDENT) |
| NPI Enumeration Date | 02/02/2006 |
Related Entities
Other providers sharing the same authorized official: MACARDY, WAYNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
13 |
$90.64 |
| 2019 |
25 |
$182.31 |
| 2020 |
40 |
$304.88 |
| 2021 |
13 |
$107.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V5266 |
Battery for use in hearing device |
91 |
91 |
$684.95 |