WYNNE APOTHECARY INC
NPI: 1508859737
· WYNNE, AR 72396
· Pharmacy
· NPI assigned 08/23/2005
Provider Details
| Authorized Official | COOPER, STACY (NEW OWNER/PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 08/23/2005 |
Related Entities
Other providers sharing the same authorized official: COOPER, STACY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
28 |
$0.00 |
| 2021 |
332 |
$5K |
| 2023 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
50 |
48 |
$3K |
| 0001A |
|
55 |
55 |
$1K |
| 0012A |
|
51 |
48 |
$267.12 |
| 0011A |
|
46 |
43 |
$254.10 |
| 0031A |
|
13 |
13 |
$240.00 |
| 91300 |
|
89 |
79 |
$0.80 |
| 0064A |
|
28 |
28 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
14 |
$0.00 |
| 0124A |
|
14 |
14 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |