RALPHS GROCERY COMPANY
NPI: 1538363585
· WEST HOLLYWOOD, CA 90046
· Community/Retail Pharmacy
· NPI assigned 06/13/2007
$173.03
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/13/2007 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
24 |
$173.03 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91320 |
|
12 |
12 |
$128.48 |
| 90480 |
|
12 |
12 |
$44.55 |