LEEDS PHARMACY INC.
NPI: 1568532075
· SIOUX CITY, IA 51104
· Point of Service
· NPI assigned 11/09/2006
$148.29
Total Medicaid Paid
Provider Details
| Authorized Official | REHAL, ROBERT (PHARMACIST) |
| NPI Enumeration Date | 11/09/2006 |
Related Entities
Other providers sharing the same authorized official: REHAL, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$148.29 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
12 |
12 |
$148.29 |