KASTAK SERVICES, L.L.C.
NPI: 1497840474
· BREAUX BRIDGE, LA 70517
· Community/Retail Pharmacy
· NPI assigned 10/04/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SIMONEAUX, KILEY (OWNER/PHARMACIST) |
| NPI Enumeration Date | 10/04/2006 |
Related Entities
Other providers sharing the same authorized official: SIMONEAUX, KILEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
166 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
36 |
36 |
$0.00 |
| 0011A |
|
66 |
66 |
$0.00 |
| 0012A |
|
64 |
64 |
$0.00 |