PROFESSIONAL PHARMACY
NPI: 1457565400
· STUTTGART, AR 72160
· Community/Retail Pharmacy
· NPI assigned 05/09/2007
Provider Details
| Authorized Official | SMITH, ZACHARY (PRESIDENT) |
| NPI Enumeration Date | 05/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
166 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
56 |
56 |
$1K |
| 0012A |
|
29 |
29 |
$660.00 |
| 0013A |
|
14 |
14 |
$200.00 |
| 91301 |
|
67 |
63 |
$0.58 |