FREEMAN PHARMACY LLC
NPI: 1609200682
· MEDICINE LODGE, KS 67104
· Durable Medical Equipment & Medical Supplies
· NPI assigned 08/27/2013
$697.85
Total Medicaid Paid
Provider Details
| Authorized Official | FREEMAN, LANCE (PRESIDENT) |
| NPI Enumeration Date | 08/27/2013 |
Related Entities
Other providers sharing the same authorized official: FREEMAN, LANCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
129 |
$697.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91300 |
|
67 |
62 |
$361.75 |
| 0002A |
|
24 |
24 |
$171.60 |
| 0001A |
|
38 |
38 |
$164.50 |