MEDICINE MAN BONNERS FERRY PHARMACY LLC
NPI: 1578826178
· BONNERS FERRY, ID 83805
· 3336C0004X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
37 |
$0.00 |
| 2019 |
12 |
$145.91 |
| 2020 |
18 |
$217.99 |
| 2021 |
90 |
$981.21 |
| 2022 |
28 |
$236.23 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose/reagent strips |
148 |
90 |
$2K |
| 90686 |
|
18 |
18 |
$0.00 |
| G0008 |
Admin influenza virus vac |
19 |
19 |
$0.00 |