MEDICINE MAN BONNERS FERRY PHARMACY LLC
NPI: 1578826178
· BONNERS FERRY, ID 83805
· Compounding Pharmacy
· NPI assigned 06/19/2012
Provider Details
| Authorized Official | STUERMER, AIMEE (CO-OWNER) |
| NPI Enumeration Date | 06/19/2012 |
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 test or reagent strips for home blood glucose monitor, per 50 strips |
148 |
90 |
$2K |
| 90686 |
|
18 |
18 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
19 |
$0.00 |