PONCHATOULA FAMILY PHARMACY LLC
NPI: 1447821863
· PONCHATOULA, LA 70454
· Community/Retail Pharmacy
· NPI assigned 07/07/2021
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | ANTOON, DANA (OWNER/MANAGER) |
| NPI Enumeration Date | 07/07/2021 |
Related Entities
Other providers sharing the same authorized official: ANTOON, DANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
18 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
18 |
18 |
$0.00 |