NPI: 1447590146 · PINE BLUFF, AR 71603 · Community/Retail Pharmacy · NPI assigned 02/18/2013
| Authorized Official | STICE, FLOYD (PHARMACIST OWNER) |
| NPI Enumeration Date | 02/18/2013 |
Other providers sharing the same authorized official: STICE, FLOYD
| Provider | City | State | Total Paid |
|---|---|---|---|
| WHITEHALL PHARMACY LLC | WHITE HALL | AR | $22K |
| WHITEHALL PHARMACY LLC | STAR CITY | AR | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 5,301 | $94K |
| 2022 | 333 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 1,398 | 1,332 | $50K | |
| 0001A | 1,775 | 1,659 | $42K | |
| 0072A | 46 | 44 | $3K | |
| 0071A | 44 | 38 | $3K | |
| 0012A | 189 | 184 | $1K | |
| 0003A | 35 | 35 | $920.00 | |
| 0011A | 262 | 246 | $881.51 | |
| 0031A | 74 | 70 | $799.05 | |
| 0004A | 27 | 26 | $720.00 | |
| 91300 | 1,505 | 1,371 | $11.10 | |
| 91307 | 106 | 89 | $0.76 | |
| 91301 | 114 | 102 | $0.59 | |
| 91305 | 28 | 28 | $0.23 | |
| 91303 | 31 | 27 | $0.21 |