TED S PHARMACY LLC
NPI: 1538288113
· HAYNESVILLE, LA 71038
· Pharmacy
· NPI assigned 03/28/2007
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WARE, DAN (PIC) |
| NPI Enumeration Date | 03/28/2007 |
Related Entities
Other providers sharing the same authorized official: WARE, DAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
151 |
$0.00 |
| 2022 |
13 |
$0.00 |
| 2023 |
15 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0013A |
|
34 |
34 |
$0.00 |
| 0012A |
|
64 |
64 |
$0.00 |
| 0011A |
|
53 |
53 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
28 |
28 |
$0.00 |